Provider Demographics
NPI:1942548896
Name:FRAZIER, JANICE HILDA (DPT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:HILDA
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 PANGBOURNE WAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1376
Mailing Address - Country:US
Mailing Address - Phone:410-799-9655
Mailing Address - Fax:
Practice Address - Street 1:14201 PARK CENTER DR
Practice Address - Street 2:SUITE 40
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5217
Practice Address - Country:US
Practice Address - Phone:301-498-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20728225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist