Provider Demographics
NPI:1841316502
Name:KINNUNEN, JANET M (OTR CHT)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:KINNUNEN
Suffix:
Gender:F
Credentials:OTR CHT
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:K
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR CHT
Mailing Address - Street 1:7400 MERTON MINTER ST
Mailing Address - Street 2:FO13
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4404
Mailing Address - Country:US
Mailing Address - Phone:210-617-5300
Mailing Address - Fax:210-617-5391
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:FO13
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-617-5391
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000802225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1252510001OtherMEDICARE NSC
TX81793TOtherBCBS
TXP98448OtherUPIN NUMBER
TX100802OtherOT LICENSE
TX00774VMedicare PIN
TX81793TOtherBCBS
TX8B1737Medicare UPIN