Provider Demographics
NPI:1184691404
Name:MEYER, JANICE LEE (PT)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LEE
Last Name:MEYER
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 1:824 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2522
Mailing Address - Country:US
Mailing Address - Phone:937-484-3263
Mailing Address - Fax:
Practice Address - Street 1:1529 FAIR RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-8193
Practice Address - Country:US
Practice Address - Phone:937-492-2130
Practice Address - Fax:937-492-1306
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 9860225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist