MEDICARE: JANINE MCRILEY

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1972945004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE MCRILEY

Provider Business Mailing Address
First Line	:	160 N EL MOLINO AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1805
Country	:	US
Telephone Number	:	626-389-4928
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 N EL MOLINO AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1805
Country	:	US
Telephone Number	:	626-389-4928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	04/19/2021

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Directions to “ JANINE MCRILEY ” Practice Location

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