Provider Demographics
NPI:1710191267
Name:BROWN, JANET ARLENE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ARLENE
Last Name:BROWN
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 1:1891 GOODYEAR AVE STE 605
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-8003
Mailing Address - Country:US
Mailing Address - Phone:805-642-8490
Mailing Address - Fax:805-659-9955
Practice Address - Street 1:1891 GOODYEAR AVE STE 605
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-8003
Practice Address - Country:US
Practice Address - Phone:805-642-8490
Practice Address - Fax:805-659-9955
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 4594224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACT1143970OtherMEDI-CAL