Provider Demographics
NPI:1376765297
Name:CIBIK, JANEL LEE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:LEE
Last Name:CIBIK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 LINCOLN AVE.
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656
Mailing Address - Country:US
Mailing Address - Phone:724-845-2127
Mailing Address - Fax:
Practice Address - Street 1:1301 CARLISLE ST.
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15656
Practice Address - Country:US
Practice Address - Phone:724-226-7278
Practice Address - Fax:724-226-7252
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004605L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist