Provider Demographics
NPI:1396175816
Name:O'BRIEN, JANET WHALEY (OTR)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:WHALEY
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 STRAWBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-1795
Mailing Address - Country:US
Mailing Address - Phone:410-742-0303
Mailing Address - Fax:
Practice Address - Street 1:1336 BELMONT AVE
Practice Address - Street 2:SUITE 502 B
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4500
Practice Address - Country:US
Practice Address - Phone:410-546-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05274174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator