Provider Demographics
NPI:1255760880
Name:DEAN, JANNA (PTA)
Entity type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:
Last Name:DEAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:JANNA
Other - Middle Name:D
Other - Last Name:GUFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-1147
Mailing Address - Country:US
Mailing Address - Phone:610-816-0751
Mailing Address - Fax:
Practice Address - Street 1:300 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-1147
Practice Address - Country:US
Practice Address - Phone:610-816-0751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI002415225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant