Healthcare Provider Details

I. General information

NPI: 1295891422
Provider Name (Legal Business Name): ERICA MARIE JANULEWICZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FREEPORT RD 200 BLDG. SUITE 4000
PITTSBURGH PA
15215-3301
US

IV. Provider business mailing address

103 W 8TH ST
ASPINWALL PA
15215-2925
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-5010
  • Fax:
Mailing address:
  • Phone: 412-784-8040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT015195
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: