Provider Demographics
NPI:1336956614
Name:STORRY, JANIS MARGARET (OTR/L)
Entity type:Individual
Prefix:
First Name:JANIS
Middle Name:MARGARET
Last Name:STORRY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JANIS
Other - Middle Name:MARGARET
Other - Last Name:TOBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:122 TWILIGHT LN
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2605
Mailing Address - Country:US
Mailing Address - Phone:978-621-2721
Mailing Address - Fax:
Practice Address - Street 1:10133 SHERRILL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3347
Practice Address - Country:US
Practice Address - Phone:888-531-2204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOTL770225X00000X
AL6261225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist