MEDICARE: MRS. JANICE ANN POLITZ OTR/L

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
1	225X00000X	Occupational Therapist	OT8439	FL

General Provider Information

NPI Number	:	1912172362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANICE ANN POLITZ OTR/L

Provider Business Mailing Address
First Line	:	760 INDIAN BEACH LN
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34234-5745
Country	:	US
Telephone Number	:	941-320-1232
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 INDIAN BEACH LN
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34234-5745
Country	:	US
Telephone Number	:	941-320-1232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/28/2008

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