Healthcare Provider Details

I. General information

NPI: 1437305703
Provider Name (Legal Business Name): LORI HARRINGTON OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S WINCHESTER BLVD SUITE 5
SAN JOSE CA
95128-2901
US

IV. Provider business mailing address

1145 EL ABRA WAY
SAN JOSE CA
95125-3111
US

V. Phone/Fax

Practice location:
  • Phone: 408-241-7033
  • Fax:
Mailing address:
  • Phone: 408-287-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: