Provider Demographics
NPI:1174645576
Name:DOLOT, JANET PROBISH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:PROBISH
Last Name:DOLOT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:PROBISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:23 N SHORE RD
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-1521
Mailing Address - Country:US
Mailing Address - Phone:914-750-5105
Mailing Address - Fax:
Practice Address - Street 1:23 N SHORE RD
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-1521
Practice Address - Country:US
Practice Address - Phone:914-750-5105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62027802225100000X
IL70008342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist