Provider Demographics
NPI:1578872370
Name:KRAUTHAMER, JANET S (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:KRAUTHAMER
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 1:301 E 69TH ST
Mailing Address - Street 2:APT. 2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5505
Mailing Address - Country:US
Mailing Address - Phone:516-647-1051
Mailing Address - Fax:
Practice Address - Street 1:301 E 69TH ST
Practice Address - Street 2:APT. 2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5505
Practice Address - Country:US
Practice Address - Phone:516-647-1051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014189225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics