Provider Demographics
NPI:1639693054
Name:SAUCERMAN, JANICE KAY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:KAY
Last Name:SAUCERMAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:KAY
Other - Last Name:PILGRIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1244 COUNTRYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9758
Mailing Address - Country:US
Mailing Address - Phone:615-812-1665
Mailing Address - Fax:
Practice Address - Street 1:801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3482
Practice Address - Country:US
Practice Address - Phone:615-444-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist