Provider Demographics
NPI:1891125837
Name:MEYER, JANICE (PT,DPT,OCS,COMT,CSCS)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:PT,DPT,OCS,COMT,CSCS
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:MAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 ALDEN ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2156
Mailing Address - Country:US
Mailing Address - Phone:908-276-0294
Mailing Address - Fax:
Practice Address - Street 1:29 ALDEN ST STE 1A
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2156
Practice Address - Country:US
Practice Address - Phone:908-276-0294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01533700225100000X
NY037351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist