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Individual

MS. JANET M KINNUNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR CHT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000802
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100802
OT LICENSE
TX
01
1252510001
MEDICARE NSC
TX
01
81793T
BCBS
TX
01
P98448
UPIN NUMBER
TX
Enumeration date
03/22/2007
Last updated
01/18/2011
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