Individual
JANNE KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017467-1
NY
2251G0304X
Geriatric Physical Therapist
017467-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017467-1
—
NY
01
—
111
NEW YORK STATE BOARD OF EDUCATION
NY
Enumeration date
06/11/2009
Last updated
12/08/2023
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