Provider Demographics
NPI:1417184094
Name:LAUGHLIN, JANINE MARIE (PT)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 CORPORATE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4443
Mailing Address - Country:US
Mailing Address - Phone:330-528-0034
Mailing Address - Fax:330-528-3149
Practice Address - Street 1:1330 CORPORATE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4446
Practice Address - Country:US
Practice Address - Phone:330-528-0034
Practice Address - Fax:330-528-3149
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-006431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist