Provider Demographics
NPI:1487809984
Name:FINAN, JANICE MAE
Entity type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:MAE
Last Name:FINAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:MAE
Other - Last Name:STENKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3716 E. UNIVERSITY DR.
Mailing Address - Street 2:UNIT 1023
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205
Mailing Address - Country:US
Mailing Address - Phone:480-244-3450
Mailing Address - Fax:
Practice Address - Street 1:215 S. POWER ROAD
Practice Address - Street 2:TRILLIUM SPECIALTY HOSPITAL
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206
Practice Address - Country:US
Practice Address - Phone:480-985-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5625A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant