Provider Demographics
NPI:1932302080
Name:TOBIN, JANA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:M
Last Name:TOBIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JANA
Other - Middle Name:M
Other - Last Name:WORTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6 GLEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856
Mailing Address - Country:US
Mailing Address - Phone:207-593-5500
Mailing Address - Fax:207-593-5266
Practice Address - Street 1:6 GLEN COVE DR
Practice Address - Street 2:PENOBSCOT BAY MEDICAL CENTER
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-593-5500
Practice Address - Fax:207-593-5266
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist