Provider Demographics
NPI:1063731701
Name:BIELEFELD, JANE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:BIELEFELD
Suffix:
Gender:F
Credentials: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:PO BOX 8082
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-8082
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 BUCKINGHAM CIR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2909
Practice Address - Country:US
Practice Address - Phone:434-293-9009
Practice Address - Fax:434-293-8976
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003230225XE1200X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No174400000XOther Service ProvidersSpecialist