Provider Demographics
NPI:1689883985
Name:ALLARD, JANET (PTA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ALLARD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:8101 ELLIS RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746-9402
Mailing Address - Country:US
Mailing Address - Phone:989-233-3032
Mailing Address - Fax:
Practice Address - Street 1:7508 M E CAD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4281
Practice Address - Country:US
Practice Address - Phone:248-922-9200
Practice Address - Fax:248-922-9700
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1851517973OtherCORPORATION NPI