Provider Demographics
NPI:1700279791
Name:LEDYARD, JANET (COMS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LEDYARD
Suffix:
Gender:F
Credentials:COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13907 COUNTY ROAD 8
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:IN
Mailing Address - Zip Code:46540-9643
Mailing Address - Country:US
Mailing Address - Phone:574-370-9466
Mailing Address - Fax:
Practice Address - Street 1:13907 COUNTY ROAD 8
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:IN
Practice Address - Zip Code:46540-9643
Practice Address - Country:US
Practice Address - Phone:574-370-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-15
Last Update Date:2015-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider