Provider Demographics
NPI:1750535274
Name:JANUS, CATHERINE M (PT)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:JANUS
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 1:5618 OX ROAD
Mailing Address - Street 2:SUITE H
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039
Mailing Address - Country:US
Mailing Address - Phone:315-254-7009
Mailing Address - Fax:
Practice Address - Street 1:5618 OX RD
Practice Address - Street 2:SUITE H
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039
Practice Address - Country:US
Practice Address - Phone:315-254-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205715225100000X
NCP11822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist