Provider Demographics
NPI:1982866984
Name:POLLARD, JANEAN (PT)
Entity Type:Individual
Prefix:
First Name:JANEAN
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ELM ST
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-3459
Mailing Address - Country:US
Mailing Address - Phone:410-643-1527
Mailing Address - Fax:410-643-1528
Practice Address - Street 1:201 ELM ST
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-3459
Practice Address - Country:US
Practice Address - Phone:410-643-1527
Practice Address - Fax:410-643-1528
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18909225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist