Provider Demographics
NPI:1689913345
Name:TOLEDO-MEYERS, JANICE D
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:D
Last Name:TOLEDO-MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:D
Other - Last Name:TOLEDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7410 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2317
Mailing Address - Country:US
Mailing Address - Phone:402-397-1220
Mailing Address - Fax:402-397-4102
Practice Address - Street 1:7410 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2317
Practice Address - Country:US
Practice Address - Phone:402-397-1220
Practice Address - Fax:402-397-4102
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist