Provider Demographics
NPI:1003986001
Name:STRADTMAN, JANET JEAN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:JEAN
Last Name:STRADTMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 REEF POINT AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8800
Mailing Address - Country:US
Mailing Address - Phone:702-427-2933
Mailing Address - Fax:
Practice Address - Street 1:3215 E CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-4235
Practice Address - Country:US
Practice Address - Phone:702-467-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-0001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist