Healthcare Provider Details

I. General information

NPI: 1750598793
Provider Name (Legal Business Name): LORI B. GEDDINGS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 SHUFORD RD
COLUMBUS NC
28722-7406
US

IV. Provider business mailing address

60 SHUFORD RD
COLUMBUS NC
28722-7406
US

V. Phone/Fax

Practice location:
  • Phone: 828-894-0277
  • Fax: 828-894-0278
Mailing address:
  • Phone: 828-894-0277
  • Fax: 828-894-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6448
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: