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NPI Code Detail

MEDICARE: EMILY JANUSKO DPT

MEDICARE: EMILY JANUSKO DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1043790009
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JANUSKO DPT
Provider Business Mailing Address
First Line : 170 HIGHLAND ST
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-3153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1551 LAKE COOK RD
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-5651
Country : US
Telephone Number : 847-374-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ EMILY JANUSKO DPT” Practice Location

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