MEDICARE: MRS. JANET KATHLEEN HELLNER 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	003862-1	NY

General Provider Information

NPI Number	:	1518293034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET KATHLEEN HELLNER OTR/L

Provider Business Mailing Address
First Line	:	2653 FULLER RD
Second Line	:
City	:	BURT
State	:	NY
Zip	:	14028-9791
Country	:	US
Telephone Number	:	716-778-5704
Fax Number	:

Provider Business Practice Location Address
First Line	:	2653 FULLER RD
Second Line	:
City	:	BURT
State	:	NY
Zip	:	14028-9791
Country	:	US
Telephone Number	:	716-778-5704
Fax Number	:

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

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	10/19/2009

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