Provider Demographics
NPI:1821491556
Name:ALTHANS, JANE E (OTR)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:ALTHANS
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 1:2601 METAIRIE LAWN DR APT 14-114
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6119
Mailing Address - Country:US
Mailing Address - Phone:504-301-5049
Mailing Address - Fax:
Practice Address - Street 1:2601 METAIRIE LAWN DR APT 14-114
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6119
Practice Address - Country:US
Practice Address - Phone:504-301-5049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116279225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist