Provider Demographics
NPI:1598122210
Name:KLEIN, JANET MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:12516 83RD DR
Mailing Address - Street 2:APT 5B
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1902
Mailing Address - Country:US
Mailing Address - Phone:562-331-9715
Mailing Address - Fax:
Practice Address - Street 1:11937 METROPOLITAN AVE APT 5K
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2644
Practice Address - Country:US
Practice Address - Phone:562-331-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty