Provider Demographics
NPI:1528205838
Name:STINSON, JANELL MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANELL
Middle Name:MARIE
Last Name:STINSON
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 1:47 DINSLEY PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-7422
Mailing Address - Country:US
Mailing Address - Phone:937-748-2599
Mailing Address - Fax:
Practice Address - Street 1:2270 PARK HILLS DR
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-3993
Practice Address - Country:US
Practice Address - Phone:937-754-9820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist