Provider Demographics
NPI:1427280171
Name:HADLEY, JANE LOUISE (PT)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:LOUISE
Last Name:HADLEY
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 1:37 NAFUS ST
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-2339
Mailing Address - Country:US
Mailing Address - Phone:570-603-0508
Mailing Address - Fax:
Practice Address - Street 1:675 SAINT MARYS VILLA RD
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:PA
Practice Address - Zip Code:18444-9614
Practice Address - Country:US
Practice Address - Phone:570-842-7621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006617L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist