Provider Demographics
NPI:1427397488
Name:DEBRITO, JANINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:
Last Name:DEBRITO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:JANINE
Other - Middle Name:
Other - Last Name:REBELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8845 CARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2699
Mailing Address - Country:US
Mailing Address - Phone:732-732-5805
Mailing Address - Fax:
Practice Address - Street 1:8845 CARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-2699
Practice Address - Country:US
Practice Address - Phone:732-754-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT359132251N0400X
NJ40QA01137200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist