Provider Demographics
NPI:1881739464
Name:SORACI, JANICE (PT)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:SORACI
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:PO BOX 216
Mailing Address - Street 2:1567 ROUTE 517 VILLAGE SQUARE MALL
Mailing Address - City:ALLAMUCHY
Mailing Address - State:NJ
Mailing Address - Zip Code:07820-0216
Mailing Address - Country:US
Mailing Address - Phone:908-979-1578
Mailing Address - Fax:908-979-9978
Practice Address - Street 1:1567 ROUTE 517 VILLAGE SQUARE MALL
Practice Address - Street 2:
Practice Address - City:ALLAMUCHY
Practice Address - State:NJ
Practice Address - Zip Code:07820-0216
Practice Address - Country:US
Practice Address - Phone:908-979-1578
Practice Address - Fax:908-979-9978
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA02877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ038180Medicare ID - Type UnspecifiedNON-PARTICIPATING PROVIDE