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Individual

JANET ELAINE MEYDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
PO BOX 8, GRANTS, NM 87020-0008
(505) 285-2600
Mailing address
N6756 CARDINAL LN, WITTENBERG, WI 54499-8548
(505) 285-2600

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
1434-26
WI
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2025-0107
NM

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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