Provider Demographics
NPI:1598953192
Name:FEURIG, JANET ELLEN (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELLEN
Last Name:FEURIG
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11827 ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MATLACHA
Mailing Address - State:FL
Mailing Address - Zip Code:33993-9769
Mailing Address - Country:US
Mailing Address - Phone:239-677-9241
Mailing Address - Fax:
Practice Address - Street 1:730 SW 4TH ST STE 6
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1984
Practice Address - Country:US
Practice Address - Phone:501-993-8707
Practice Address - Fax:501-223-8075
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT638225X00000X
AROTR638171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR122892721Medicaid