MEDICARE: CHRISTY JANZEN

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	OT.0001402	CO

General Provider Information

NPI Number	:	1134251986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY JANZEN

Provider Business Mailing Address
First Line	:	6315 SAVANNAH WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-4854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3490 CENTENNIAL BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4087
Country	:	US
Telephone Number	:	719-685-8888
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	11/25/2024

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Directions to “ CHRISTY JANZEN ” Practice Location

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