Provider Demographics
NPI:1699502633
Name:CARPIZ, JANAE (DPT)
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:
Last Name:CARPIZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 NE 103RD ST APT G75
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-1636
Mailing Address - Country:US
Mailing Address - Phone:650-745-6486
Mailing Address - Fax:
Practice Address - Street 1:1700 MAIN ST STE 136
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-4133
Practice Address - Country:US
Practice Address - Phone:360-835-5349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61593739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist