Individual
JOAN S JANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
450 HOPE ST, BRISTOL, RI 02809-1834
(401) 253-5314
(401) 253-5314
Mailing address
PO BOX 671, BRISTOL, RI 02809-0671
(401) 253-5314
(401) 253-5314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3051
RI
225X00000X
Occupational Therapist
Primary
OT 00343
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21383-7
BLUE CROSS/BLUE SHEILD
RI
01
—
407436
BLUE CHIP
RI
Enumeration date
07/28/2006
Last updated
07/08/2007
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