Provider Demographics
NPI:1558956227
Name:FREEBURG, JANET ANN (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:FREEBURG
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 1:8 SOUTHGATE RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3336
Mailing Address - Country:US
Mailing Address - Phone:203-414-4878
Mailing Address - Fax:
Practice Address - Street 1:8 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3336
Practice Address - Country:US
Practice Address - Phone:203-414-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist