Provider Demographics
NPI:1114153319
Name:ENGEL, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2074 OCEAN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2734
Mailing Address - Country:US
Mailing Address - Phone:305-775-6994
Mailing Address - Fax:772-234-1761
Practice Address - Street 1:2074 OCEAN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-2734
Practice Address - Country:US
Practice Address - Phone:305-775-6994
Practice Address - Fax:772-234-1761
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13593225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist