Healthcare Provider Details

I. General information

NPI: 1073765012
Provider Name (Legal Business Name): JANEEN ANN MCNEAL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 WEYMAN RD HCR MANOR CARE
PITTSBURGH PA
15236
US

IV. Provider business mailing address

505 WEYMAN RD HCR MANOR CARE
PITTSBURGH PA
15236
US

V. Phone/Fax

Practice location:
  • Phone: 412-884-3500
  • Fax: 412-884-3700
Mailing address:
  • Phone: 412-884-3500
  • Fax: 412-884-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1018691
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: