Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT021160 | PA |
N | 2251X0800X | Physical Therapist - Orthopedic | 2305205235 | VA |
NPI | 1033308671 |
---|---|
Provider Name | Mrs. Janeen Marie Newman |
First Address | Winchester, VA 22601-2649 |
Second Address | Bethlehem, PA 18017-7336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2007 |
Last Update Date | 08/08/2019 |