Provider Demographics
NPI:1851547103
Name:LAMOREE, JANET ANN (PTA, ATC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANN
Last Name:LAMOREE
Suffix:
Gender:F
Credentials:PTA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 E SMOKE TREE RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-2757
Mailing Address - Country:US
Mailing Address - Phone:480-993-5672
Mailing Address - Fax:480-892-2646
Practice Address - Street 1:2022 E SMOKE TREE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-2757
Practice Address - Country:US
Practice Address - Phone:480-993-5672
Practice Address - Fax:480-892-2646
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7819A225200000X
AZ454210419261QA0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No261QA0900XAmbulatory Health Care FacilitiesClinic/CenterAmputee
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1417227224OtherNPI, BUSINESS