Individual
JANAE MARTINTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
550 HALLMARK DR, REID EATON FAMILY & SPECIALTY CARE, EATON, OH 45320-8648
(765) 983-3825
(765) 983-3237
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3825
(765) 983-3237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008311A
IN
225100000X
Physical Therapist
Primary
PT011188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000907865
ANTHEM
IN
05
—
0117590
—
OH
05
—
201265380
—
IN
Enumeration date
02/20/2014
Last updated
10/18/2016
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