Provider Demographics
NPI:1417027384
Name:FINK, JANEEN RAE (PT)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:RAE
Last Name:FINK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:MARION PHYSICAL THERAPY, PC
Mailing Address - Street 2:3279 7TH AVE, SUITE 120
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-3786
Mailing Address - Country:US
Mailing Address - Phone:319-373-7311
Mailing Address - Fax:319-373-7313
Practice Address - Street 1:MARION PHYSICAL THERAPY, PC
Practice Address - Street 2:3279 7TH AVE, SUITE 120
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3786
Practice Address - Country:US
Practice Address - Phone:319-373-7311
Practice Address - Fax:319-373-7313
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA03333225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI12528Medicare ID - Type Unspecified