Provider Demographics
NPI:1962092759
Name:RAJAUSKI, JANINE ELIZABETH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:ELIZABETH
Last Name:RAJAUSKI
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:ELIZABETH
Other - Last Name:RAJAUSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:1608 STOCTON RD
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1158
Mailing Address - Country:US
Mailing Address - Phone:215-429-4134
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 397
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-0397
Practice Address - Country:US
Practice Address - Phone:267-627-4988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016663225X00000X
NJ46TR00908900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist