Provider Demographics
NPI:1154607067
Name:LAMBERT, JANIE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:JANIE
Other - Middle Name:
Other - Last Name:SOBOTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:MN
Mailing Address - Zip Code:55374-0013
Mailing Address - Country:US
Mailing Address - Phone:608-406-0156
Mailing Address - Fax:
Practice Address - Street 1:6401 FRANCE AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2104
Practice Address - Country:US
Practice Address - Phone:608-406-0156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN105124225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist