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NPI Code Detail

MEDICARE: MRS. JANET JEAN STRADTMAN OTR

MEDICARE: MRS. JANET JEAN STRADTMAN OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-0001OH

General Provider Information

NPI Number : 1003986001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET JEAN STRADTMAN OTR
Provider Business Mailing Address
First Line : 1327 REEF POINT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8800
Country : US
Telephone Number : 702-427-2933
Fax Number :
Provider Business Practice Location Address
First Line : 3215 E CHEYENNE AVE
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89030-4235
Country : US
Telephone Number : 702-467-0707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/06/2024

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