Provider Demographics
NPI:1376504506
Name:SAUGSTAD, JANINE ANN (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:ANN
Last Name:SAUGSTAD
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 COUNTRY GATE DR
Mailing Address - Street 2:
Mailing Address - City:NEW WHITELAND
Mailing Address - State:IN
Mailing Address - Zip Code:46184-9206
Mailing Address - Country:US
Mailing Address - Phone:317-535-3366
Mailing Address - Fax:
Practice Address - Street 1:714 COUNTRY GATE DR
Practice Address - Street 2:
Practice Address - City:NEW WHITELAND
Practice Address - State:IN
Practice Address - Zip Code:46184-9206
Practice Address - Country:US
Practice Address - Phone:317-535-3366
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist