Healthcare Provider Details

I. General information

NPI: 1609435601
Provider Name (Legal Business Name): JANET C DOROH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET C COMSTOCK

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 RAY C HUNT DR STE 2100
CHARLOTTESVILLE VA
22903-2981
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 434-297-9700
  • Fax: 434-297-9707
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305206111
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: