Provider Demographics
NPI:1407149313
Name:BARKER, JANET LUTHA (OTR/L)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LUTHA
Last Name:BARKER
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 1:2102 W BELLE PLAINE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-3257
Mailing Address - Country:US
Mailing Address - Phone:708-373-9974
Mailing Address - Fax:
Practice Address - Street 1:3255 N PAULINA ST UNIT C
Practice Address - Street 2:UNIT C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1014
Practice Address - Country:US
Practice Address - Phone:773-868-4769
Practice Address - Fax:773-435-6737
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.009328225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist