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NPI Code Detail

MEDICARE: CORRINE LANTZ OTR

MEDICARE:   CORRINE  LANTZ  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC003194LPA

General Provider Information

NPI Number : 1437112323
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRINE LANTZ OTR
Provider Business Mailing Address
First Line : 830 EMERALD DR
Second Line :
City : NEW KENSINGTON
State : PA
Zip : 15068-1782
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 625 WALNUT ST
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2806
Country : US
Telephone Number : 412-673-5005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 07/08/2007

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Directions to “ CORRINE LANTZ OTR” Practice Location

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