Provider Demographics
NPI:1104400803
Name:MCELHANY, JANELLE DIANE (RPT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:DIANE
Last Name:MCELHANY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 WEATHERLY TRL
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1255
Mailing Address - Country:US
Mailing Address - Phone:203-640-0792
Mailing Address - Fax:
Practice Address - Street 1:399 WEATHERLY TRL
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-1255
Practice Address - Country:US
Practice Address - Phone:203-640-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007362251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty