=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447785951
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANINA CRISTINA SAINTILUS OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2017
-----------------------------------------------------
Last Update Date | 04/23/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 71 AIKEN ST UNIT O2
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851-2157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-956-0973
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 71 AIKEN ST UNIT O2
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851-2157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-956-0973
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 4788
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------