Healthcare Provider Details

I. General information

NPI: 1427979327
Provider Name (Legal Business Name): THERESE LORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6681 RIDGE RD STE 102
PARMA OH
44129-5705
US

IV. Provider business mailing address

6681 RIDGE RD STE 102
PARMA OH
44129-5705
US

V. Phone/Fax

Practice location:
  • Phone: 440-743-4582
  • Fax:
Mailing address:
  • Phone: 440-743-4582
  • Fax: 440-743-3221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number13602
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: