MEDICARE: MRS. JANEL M BALDWIN 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	5201014505	MI

General Provider Information

NPI Number	:	1821941691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANEL M BALDWIN OTR/L

Provider Business Mailing Address
First Line	:	4288 EAGLECREST DR
Second Line	:
City	:	WILLIAMSBURG
State	:	MI
Zip	:	49690-9235
Country	:	US
Telephone Number	:	231-676-8305
Fax Number	:

Provider Business Practice Location Address
First Line	:	4288 EAGLECREST DR
Second Line	:
City	:	WILLIAMSBURG
State	:	MI
Zip	:	49690-9235
Country	:	US
Telephone Number	:	231-676-8305
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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