Provider Demographics
NPI:1982650008
Name:BRABANT, JANELLE MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:MARIE
Last Name:BRABANT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JANELLE
Other - Middle Name:MARIE
Other - Last Name:HOLOWKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:290 STONE FENCE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626
Mailing Address - Country:US
Mailing Address - Phone:585-271-2989
Mailing Address - Fax:
Practice Address - Street 1:1854 STONE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616
Practice Address - Country:US
Practice Address - Phone:585-581-0300
Practice Address - Fax:585-581-0365
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist