Provider Demographics
NPI:1356365647
Name:DRAKE WHALEN, JANET (PT DPT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:DRAKE WHALEN
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 HARMON CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-4809
Mailing Address - Country:US
Mailing Address - Phone:267-767-5278
Mailing Address - Fax:
Practice Address - Street 1:4047 HARMON CT
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4809
Practice Address - Country:US
Practice Address - Phone:267-767-5278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT 000274225100000X
PAPT005752L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADAPT000274OtherDAPT LICENSE
PAPT005752LOtherLICENSE
PAPT005752LOtherLICENSE
PA2107938OtherBLUE SHIELD