Provider Demographics
NPI:1225763923
Name:FEE, JANINE ELLEN (MS, MPT)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:ELLEN
Last Name:FEE
Suffix:
Gender:F
Credentials:MS, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 N 15TH ST STE 2000
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1224
Mailing Address - Country:US
Mailing Address - Phone:570-522-0660
Mailing Address - Fax:570-522-0663
Practice Address - Street 1:112 N 15TH ST STE 2000
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1224
Practice Address - Country:US
Practice Address - Phone:570-522-0660
Practice Address - Fax:570-522-0663
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011625L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist