Provider Demographics
NPI:1437274586
Name:SEARS, JANELLE JO (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:JO
Last Name:SEARS
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 1:108 4TH STREET
Mailing Address - Street 2:PO BOX 52
Mailing Address - City:WESTPHALIA
Mailing Address - State:IA
Mailing Address - Zip Code:51578
Mailing Address - Country:US
Mailing Address - Phone:712-627-3525
Mailing Address - Fax:712-755-4343
Practice Address - Street 1:1213 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:IA
Practice Address - Zip Code:51537-2057
Practice Address - Country:US
Practice Address - Phone:712-755-4342
Practice Address - Fax:712-755-4343
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01102225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist