Provider Demographics
NPI:1457695918
Name:KINIRY, JANET M (PTA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:KINIRY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH WALPOLE
Mailing Address - State:NH
Mailing Address - Zip Code:03609-1731
Mailing Address - Country:US
Mailing Address - Phone:603-445-5102
Mailing Address - Fax:603-445-2385
Practice Address - Street 1:4 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH WALPOLE
Practice Address - State:NH
Practice Address - Zip Code:03609-1731
Practice Address - Country:US
Practice Address - Phone:603-445-5102
Practice Address - Fax:603-445-2385
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0312224Z00000X
NH0447225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant