Provider Demographics
NPI:1447875331
Name:FLEITES, JANELLE MARIE (DPT)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:MARIE
Last Name:FLEITES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6190 SW 116TH ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4957
Mailing Address - Country:US
Mailing Address - Phone:786-205-4997
Mailing Address - Fax:
Practice Address - Street 1:6190 SW 116TH ST
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-4957
Practice Address - Country:US
Practice Address - Phone:786-205-4997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic