Basic Information
Provider Information
NPI: 1356399349
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAILEY
FirstName: JANET
MiddleName: MURPHY
NamePrefix:  
NameSuffix:  
Credential: OTR/L, CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1210 GEMINI PLACE
Address2: SUITE 200
City: COLUMBUS
State: OH
PostalCode: 432406110
CountryCode: US
TelephoneNumber: 6142620907
FaxNumber: 6142625269
Practice Location
Address1: 1210 GEMINI PLACE
Address2: SUITE 200
City: COLUMBUS
State: OH
PostalCode: 432406110
CountryCode: US
TelephoneNumber: 6142620907
FaxNumber: 6142625269
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 01/19/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200XOT00140OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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