Most Relevant Information
Provider Data
| NPI Number: | 1003041922 |
| Provider Name: | JOSEPH JANICZEK LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: | MA44165 |
Most Important Dates
| Enumeration Date: | 05/20/2009 |
| Last Updated: | 05/20/2009 |
Provider Practice Location
34413 WHISPERING OAKS BLVD
RIDGE MANOR
FL
335238958
Practice Location Phone/Fax
| Phone: | 8136243700 |
| Fax: | 3525836379 |
Provider Mailing Location
34413 WHISPERING OAKS BLVD
RIDGE MANOR
FL
335238958
Provider Mailing Phone/Fax
| Phone: | 8136243700 |
| Fax: | 3525836379 |