Provider Demographics
NPI:1043838758
Name:JUNEK, JANA CROOK (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:CROOK
Last Name:JUNEK
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:TX
Mailing Address - Zip Code:77863-0356
Mailing Address - Country:US
Mailing Address - Phone:979-224-7030
Mailing Address - Fax:
Practice Address - Street 1:2803 EARL RUDDER FWY S STE 102
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6099
Practice Address - Country:US
Practice Address - Phone:979-731-5274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117514225X00000X
TX201911159225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist