Provider Demographics
NPI:1568710051
Name:ROWE, JAN A (OT)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:A
Last Name:ROWE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 2ND AVE S
Mailing Address - Street 2:SHPB 364
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1806
Mailing Address - Country:US
Mailing Address - Phone:205-934-5982
Mailing Address - Fax:205-975-7787
Practice Address - Street 1:1720 2ND AVE S
Practice Address - Street 2:SHPB 364
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1806
Practice Address - Country:US
Practice Address - Phone:205-934-5982
Practice Address - Fax:205-975-7787
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00019174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist