Provider Demographics
NPI:1376756171
Name:SIMPSON, JANET L (RPT)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:SIMPSON
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 1:93 HERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04617-3731
Mailing Address - Country:US
Mailing Address - Phone:207-326-8896
Mailing Address - Fax:
Practice Address - Street 1:93 HERRICK RD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:ME
Practice Address - Zip Code:04617-3731
Practice Address - Country:US
Practice Address - Phone:207-326-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT 174225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist