Provider Demographics
NPI:1306067806
Name:RIEDINGER, JANINE TERESA (PT)
Entity type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:TERESA
Last Name:RIEDINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 HIGH TOR DR
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-5409
Mailing Address - Country:US
Mailing Address - Phone:908-755-3048
Mailing Address - Fax:
Practice Address - Street 1:82 HIGH TOR DR
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5409
Practice Address - Country:US
Practice Address - Phone:908-755-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00228200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist