Provider Demographics
NPI:1437470739
Name:FURR, JANICE B (OTA/L)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:B
Last Name:FURR
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8670 HWY. 200
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-0000
Mailing Address - Country:US
Mailing Address - Phone:704-786-0522
Mailing Address - Fax:704-786-0522
Practice Address - Street 1:8670 HWY. 200 NORTH
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-0000
Practice Address - Country:US
Practice Address - Phone:704-786-0522
Practice Address - Fax:704-786-0522
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC076224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant