Provider Demographics
NPI:1265679682
Name:NAZAK, JANEEN ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:ELIZABETH
Last Name:NAZAK
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 1:6000 BABCOCK BLVD STE 1002
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2564
Mailing Address - Country:US
Mailing Address - Phone:412-369-5150
Mailing Address - Fax:412-369-5165
Practice Address - Street 1:6000 BABCOCK BLVD STE 1002
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2564
Practice Address - Country:US
Practice Address - Phone:412-369-5150
Practice Address - Fax:412-369-5165
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005438L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist