Provider Demographics
NPI:1447413109
Name:CUCITI, JANICE MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:CUCITI
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 1:3759 NE AZALEA ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6825
Mailing Address - Country:US
Mailing Address - Phone:503-640-0617
Mailing Address - Fax:
Practice Address - Street 1:3759 NE AZALEA ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6825
Practice Address - Country:US
Practice Address - Phone:503-640-0617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR410790225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist