Provider Demographics
NPI:1306977087
Name:SOBEL, JANET (PT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SOBEL
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 1:118 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3321
Mailing Address - Country:US
Mailing Address - Phone:301-897-5655
Mailing Address - Fax:301-986-8690
Practice Address - Street 1:118 QUINCY ST
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3321
Practice Address - Country:US
Practice Address - Phone:301-897-5655
Practice Address - Fax:301-986-8690
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15278225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG00835OtherMEDICARE GROUP #
MDOOB104J35OtherMEDICARE ID #