Provider Demographics
NPI:1942624309
Name:KASENGA, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:KASENGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:PLEITNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30856 AGOURA RD
Mailing Address - Street 2:C7
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4303
Mailing Address - Country:US
Mailing Address - Phone:219-742-7668
Mailing Address - Fax:
Practice Address - Street 1:30856 AGOURA RD
Practice Address - Street 2:C7
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4303
Practice Address - Country:US
Practice Address - Phone:219-742-7668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 13440225X00000X
WAOT60284484225X00000X
MA10328225X00000X
IL056.008956225X00000X
IN31004827A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist