Provider Demographics
NPI:1134323108
Name:HARBECK, JANET WIENER (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:WIENER
Last Name:HARBECK
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:LEE
Other - Last Name:WIENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:5607 KESWICK CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2653
Mailing Address - Country:US
Mailing Address - Phone:910-313-0015
Mailing Address - Fax:
Practice Address - Street 1:5607 KESWICK CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-2653
Practice Address - Country:US
Practice Address - Phone:910-313-0015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2039225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist