MEDICARE: MRS. JANET LOUISE OTTERSBERG-SMITH OTR

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

General Provider Information

NPI Number	:	1992973069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET LOUISE OTTERSBERG-SMITH OTR

Provider Business Mailing Address
First Line	:	30 N. MADISON AVE.
Second Line	:	#322
City	:	PASADENA
State	:	CA
Zip	:	91101
Country	:	US
Telephone Number	:	719-406-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 LONGWOOD AVE
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81004-1043
Country	:	US
Telephone Number	:	719-406-8777
Fax Number	:

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

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	01/05/2026

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