Most Relevant Information
Provider Data
NPI Number: | 1003395476 |
Provider Name: | LORI MOWERY COTA/L |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | OTA.06430 |
Most Important Dates
Enumeration Date: | 08/07/2018 |
Last Updated: | 08/07/2018 |
Provider Practice Location
1128 WATERLOO RD
MOGADORE
OH
442609577
Practice Location Phone/Fax
Phone: | 3306283430 |
Fax: |
Provider Mailing Location
2450 WILDFLOWER LN NE
MASSILLON
OH
446464900
Provider Mailing Phone/Fax
Phone: | 3304121573 |
Fax: |