Provider Demographics
NPI:1730507039
Name:PAFUNDA, JODIE BETH (OTR)
Entity type:Individual
Prefix:MRS
First Name:JODIE
Middle Name:BETH
Last Name:PAFUNDA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:JODIE
Other - Middle Name:BETH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9370 SCARBOROUGH ST. APT. 12106
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219
Mailing Address - Country:US
Mailing Address - Phone:859-353-2800
Mailing Address - Fax:
Practice Address - Street 1:9370 SCARBOROUGH ST. APT. 12106
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219
Practice Address - Country:US
Practice Address - Phone:859-353-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist