Provider Demographics
NPI:1447499967
Name:YEREX, JANINA DAWN (OT/L)
Entity type:Individual
Prefix:
First Name:JANINA
Middle Name:DAWN
Last Name:YEREX
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10811 63RD AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8680
Mailing Address - Country:US
Mailing Address - Phone:253-851-7764
Mailing Address - Fax:
Practice Address - Street 1:10811 63RD AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8680
Practice Address - Country:US
Practice Address - Phone:253-851-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist