Provider Demographics
NPI:1609098433
Name:STARR, JANET KENIG (OTR)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:KENIG
Last Name:STARR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4202
Mailing Address - Country:US
Mailing Address - Phone:802-223-7499
Mailing Address - Fax:802-223-4120
Practice Address - Street 1:654 GRANGER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5369
Practice Address - Country:US
Practice Address - Phone:802-223-7499
Practice Address - Fax:802-223-4120
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0720000074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist