Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 00736 | CT |
NPI | 1104400803 |
---|---|
Provider Name | Janelle Diane Mcelhany |
First Address | Guilford, CT 06437-1255 |
Second Address | Guilford, CT 06437-1255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2021 |
Last Update Date | 08/05/2021 |