Provider Demographics
NPI:1407090087
Name:PRUSHING, JAYNE M (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:M
Last Name:PRUSHING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3933 WITHROW RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011
Mailing Address - Country:US
Mailing Address - Phone:513-726-6062
Mailing Address - Fax:
Practice Address - Street 1:911 WEST MAIN ST.
Practice Address - Street 2:TRIANGLE THERAPY SERVICES, LLC
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320
Practice Address - Country:US
Practice Address - Phone:937-456-6505
Practice Address - Fax:937-456-6507
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001218225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics