Individual
JOHN MATTHEW JANES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, MHS, OCS
Contact information
Practice address
710 EXECUTIVE PARK, LOUISVILLE, KY 40207-4207
(502) 895-4213
(502) 897-7454
Mailing address
47 OSAGE TRL, LOUISVILLE, KY 40245-7019
(502) 213-0011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-003331
KY
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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