Provider Demographics
NPI:1629273768
Name:LEIBY, JANET LEE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LEE
Last Name:LEIBY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 HOPE DR
Mailing Address - Street 2:
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9468
Mailing Address - Country:US
Mailing Address - Phone:610-926-6038
Mailing Address - Fax:
Practice Address - Street 1:4950 YORK RD
Practice Address - Street 2:
Practice Address - City:HOLICONG
Practice Address - State:PA
Practice Address - Zip Code:18928-0470
Practice Address - Country:US
Practice Address - Phone:215-794-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009572L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01932661Medicaid