Provider Demographics
NPI:1780811943
Name:WALKER, JAN'NA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:JAN'NA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14241 E 4TH AVE STE 5-225
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8733
Mailing Address - Country:US
Mailing Address - Phone:720-439-0187
Mailing Address - Fax:303-200-7069
Practice Address - Street 1:14241 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8733
Practice Address - Country:US
Practice Address - Phone:720-439-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1408OtherOCCUPATIONAL THERAPIST