Provider Demographics
NPI:1528183282
Name:SYKORA, JANET NICOLE (MA, BSC, OTR)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:NICOLE
Last Name:SYKORA
Suffix:
Gender:F
Credentials:MA, BSC, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 S GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1036
Mailing Address - Country:US
Mailing Address - Phone:303-980-8557
Mailing Address - Fax:303-233-3391
Practice Address - Street 1:165 S GARLAND ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1036
Practice Address - Country:US
Practice Address - Phone:303-980-8557
Practice Address - Fax:303-233-3391
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42783526Medicaid