Provider Demographics
NPI:1952444820
Name:PERKINS, JANICE M (PT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:PERKINS
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 1:3658 CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:REMUS
Mailing Address - State:MI
Mailing Address - Zip Code:49340-9732
Mailing Address - Country:US
Mailing Address - Phone:989-561-5408
Mailing Address - Fax:
Practice Address - Street 1:2202 HEALTH PROFESSIONS BUILDING
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501009211OtherMI STATE LICENSE