Provider Demographics
NPI:1225910102
Name:WOODWARD, JANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:
Last Name:WOODWARD
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 1:4847 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-9725
Mailing Address - Country:US
Mailing Address - Phone:480-398-6539
Mailing Address - Fax:
Practice Address - Street 1:15265 ALTON PKWY STE 140
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2605
Practice Address - Country:US
Practice Address - Phone:949-835-3746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist