Thomas Janicky
Physical Therapist - Orthopedic
913 Southerly Rd Unit 178
Towson
, Maryland 21204-2639
Thomas Janicky
Physical Therapist - Orthopedic
913 Southerly Rd Unit 178
Towson
, Maryland 21204-2639
(732) 600-5239
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Thomas Janicky
- 913 Southerly Rd Unit 178
- Towson, MD
- Zip : 21204-2639
- Phone : (732) 600-5239
Second Address
- Thomas Janicky
- 913 Southerly Rd Unit 178
- Towson, MD
- Zip : 21204-2639
- Phone : (732) 600-5239
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 25508 | MD |
National Provider Identifier
| NPI | 1033576079 |
|---|---|
| Provider Name | Thomas Janicky |
| First Address | Towson, MD 21204-2639 |
| Second Address | Towson, MD 21204-2639 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2016 |
| Last Update Date | 28/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.