Provider Demographics
NPI:1851689160
Name:JAMINET, JUSTINA R (PT)
Entity Type:Individual
Prefix:
First Name:JUSTINA
Middle Name:R
Last Name:JAMINET
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JUSTINA
Other - Middle Name:R
Other - Last Name:POMEROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11260 OLD SEWARD HWY
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3098
Mailing Address - Country:US
Mailing Address - Phone:907-563-2141
Mailing Address - Fax:907-563-2163
Practice Address - Street 1:360 BONIFACE PKWY UNIT A27
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4911
Practice Address - Country:US
Practice Address - Phone:907-563-2141
Practice Address - Fax:907-563-2163
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist