Provider Demographics
NPI:1669614749
Name:COMBS, JANET C (OT)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:C
Last Name:COMBS
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 1:6311 NEVIN RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2269
Mailing Address - Country:US
Mailing Address - Phone:704-930-9866
Mailing Address - Fax:704-304-6425
Practice Address - Street 1:2001 VAIL AVE
Practice Address - Street 2:7TH FLOOR SOUTH
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1219
Practice Address - Country:US
Practice Address - Phone:704-304-6423
Practice Address - Fax:704-304-6425
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist