NPI Code Details Logo

NPI 1447041900

NPI 1447041900 : JEANA LEIGH INFANTINO OTR/L : CANTON, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447041900
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JEANA LEIGH INFANTINO OTR/L
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/14/2025
-----------------------------------------------------
    Last Update Date     |    05/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8544 N CANTON CENTER RD 
-----------------------------------------------------
    City                 |    CANTON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48187-1310
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-846-0007
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    115 COLLEGE PL APT 2S 
-----------------------------------------------------
    City                 |    YPSILANTI
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48197-2699
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-202-1863
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225XE0001X
-----------------------------------------------------
    Taxonomy Name        |    Environmental Modification Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225XF0002X
-----------------------------------------------------
    Taxonomy Name        |    Feeding, Eating & Swallowing Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225XG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    225XH1200X
-----------------------------------------------------
    Taxonomy Name        |    Hand Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    225XH1300X
-----------------------------------------------------
    Taxonomy Name        |    Human Factors Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    225XE1200X
-----------------------------------------------------
    Taxonomy Name        |    Ergonomics Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    225XL0004X
-----------------------------------------------------
    Taxonomy Name        |    Low Vision Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    225XM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    225XP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    225XR0403X
-----------------------------------------------------
    Taxonomy Name        |    Driving and Community Mobility Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    225XN1300X
-----------------------------------------------------
    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    225XP0019X
-----------------------------------------------------
    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    5201013155
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.