Individual
PAMELA J JANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 433-7864
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4207-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4207-026
LICENSE
WI
Enumeration date
06/26/2006
Last updated
11/23/2022
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