Provider Demographics
NPI:1407042419
Name:MELIKANT, JANET ELAINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELAINE
Last Name:MELIKANT
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 1:165 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-1935
Mailing Address - Country:US
Mailing Address - Phone:814-535-3933
Mailing Address - Fax:
Practice Address - Street 1:165 WILSON ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15906-1935
Practice Address - Country:US
Practice Address - Phone:814-535-3933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist