Provider Demographics
NPI:1457695991
Name:NOLAN, JANET K (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:K
Last Name:NOLAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-9164
Mailing Address - Country:US
Mailing Address - Phone:412-491-8439
Mailing Address - Fax:
Practice Address - Street 1:5425 N BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-9164
Practice Address - Country:US
Practice Address - Phone:412-491-8439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001682L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist