Provider Demographics
NPI:1265690234
Name:KUMAR, JANE JAMESETTA (OTR/L)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:JAMESETTA
Last Name:KUMAR
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:PO BOX 7771
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94537-7771
Mailing Address - Country:US
Mailing Address - Phone:415-341-3468
Mailing Address - Fax:
Practice Address - Street 1:37010 DUSTERBERRY WAY UNIT 7771
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94537-6080
Practice Address - Country:US
Practice Address - Phone:415-341-3468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2015-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7282225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist