MEDICARE: MS. JANET LOUISE OTTERSBERG 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	10844	CA

General Provider Information

NPI Number	:	1992973069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET LOUISE OTTERSBERG 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	:	30 N MADISON AVE UNIT 322
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4540
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	:	03/26/2026

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