Provider Demographics
NPI:1700199833
Name:MCFERRAN, JANET ELIZABETH (PTA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ELIZABETH
Last Name:MCFERRAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8704 LA ENTRADA AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1608
Mailing Address - Country:US
Mailing Address - Phone:925-719-3187
Mailing Address - Fax:
Practice Address - Street 1:8704 LA ENTRADA AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1608
Practice Address - Country:US
Practice Address - Phone:925-719-3187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT320225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant