Provider Demographics
NPI:1013001163
Name:MEYERS, JANET RHEA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:RHEA
Last Name:MEYERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5032 COPLEY RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4803
Mailing Address - Country:US
Mailing Address - Phone:215-991-6149
Mailing Address - Fax:215-991-4682
Practice Address - Street 1:100 W 15TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5314
Practice Address - Country:US
Practice Address - Phone:610-874-1476
Practice Address - Fax:610-874-0370
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000356L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
059707Medicare ID - Type Unspecified