Provider Demographics
NPI:1578536744
Name:MCCABE, JANE WEBER (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:WEBER
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27121 WOODBLUFF RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-6504
Mailing Address - Country:US
Mailing Address - Phone:949-305-2056
Mailing Address - Fax:949-305-2056
Practice Address - Street 1:27121 WOODBLUFF RD
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-6504
Practice Address - Country:US
Practice Address - Phone:949-305-2056
Practice Address - Fax:949-305-2056
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 5374225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist