Provider Demographics
NPI:1568689057
Name:DUNCKER, JANICE KAY (PT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:KAY
Last Name:DUNCKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9141 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-9153
Mailing Address - Country:US
Mailing Address - Phone:219-934-2840
Mailing Address - Fax:219-934-2841
Practice Address - Street 1:9950 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-4028
Practice Address - Country:US
Practice Address - Phone:219-934-2840
Practice Address - Fax:219-934-2841
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003834A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist