Provider Demographics
NPI:1649309048
Name:TOYOTA, JANICE SUSAN (MS OTRL)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:SUSAN
Last Name:TOYOTA
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15717 WYATT RD
Mailing Address - Street 2:
Mailing Address - City:E CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-4041
Mailing Address - Country:US
Mailing Address - Phone:216-371-1911
Mailing Address - Fax:216-321-9108
Practice Address - Street 1:14800 PRIVATE DR
Practice Address - Street 2:
Practice Address - City:E CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3553
Practice Address - Country:US
Practice Address - Phone:216-263-8213
Practice Address - Fax:216-761-4875
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH-632225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist