Provider Demographics
NPI:1477786606
Name:NEWMAN, JANIE R (OT)
Entity type:Individual
Prefix:MS
First Name:JANIE
Middle Name:R
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 5TH AVENUE DR E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-2006
Mailing Address - Country:US
Mailing Address - Phone:941-747-5847
Mailing Address - Fax:941-747-4865
Practice Address - Street 1:502 5TH AVENUE DR E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-2006
Practice Address - Country:US
Practice Address - Phone:941-747-5847
Practice Address - Fax:941-747-4865
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9240225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist