Provider Demographics
NPI:1932240496
Name:BEZNER, JANET ROSE (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ROSE
Last Name:BEZNER
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1484
Mailing Address - Country:US
Mailing Address - Phone:703-706-8516
Mailing Address - Fax:703-706-3387
Practice Address - Street 1:1111 N FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1484
Practice Address - Country:US
Practice Address - Phone:703-706-8516
Practice Address - Fax:703-706-3387
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist