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NPI Code Detail

MEDICARE: JANINE WILHELM DPT

MEDICARE: JANINE WILHELM 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 Therapist39378FL
2225100000XPhysical Therapist4128NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912519901
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE WILHELM DPT
Provider Business Mailing Address
First Line : 5857 GRAND SONATA AVE
Second Line :
City : LUTZ
State : FL
Zip : 33558-5614
Country : US
Telephone Number : 716-696-2643
Fax Number :
Provider Business Practice Location Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number : 813-833-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 12/22/2025

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Directions to “ JANINE WILHELM DPT” Practice Location

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