Provider Demographics
NPI:1487851630
Name:JANKOWSKI, CARI ANN (OTRL)
Entity Type:Individual
Prefix:MS
First Name:CARI
Middle Name:ANN
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
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Mailing Address - Street 1:8070 PRAIRIE TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MN
Mailing Address - Zip Code:55373-9338
Mailing Address - Country:US
Mailing Address - Phone:952-403-3943
Mailing Address - Fax:952-403-3979
Practice Address - Street 1:1661 PARK RIDGE DR
Practice Address - Street 2:CAPABLE KIDS
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-2841
Practice Address - Country:US
Practice Address - Phone:952-403-3934
Practice Address - Fax:952-403-3979
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN102219225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist