Provider Demographics
NPI:1295990380
Name:DETERMAN, JANET LYNN (OT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:DETERMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LYNN
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:7320 216TH ST SW
Mailing Address - Street 2:SUITE 320
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8006
Mailing Address - Country:US
Mailing Address - Phone:425-673-3916
Mailing Address - Fax:425-673-3910
Practice Address - Street 1:7320 216TH ST SW
Practice Address - Street 2:SUITE 320
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8006
Practice Address - Country:US
Practice Address - Phone:425-673-3916
Practice Address - Fax:425-673-3910
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003718225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand