=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558767590
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOANNE LORA SCHEID OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2014
-----------------------------------------------------
Last Update Date | 11/18/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 778 MIDDLEBURY RD
-----------------------------------------------------
City | MIDDLEBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06762-2401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-758-2471
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 ABBEY RD
-----------------------------------------------------
City | EAST HAMPTON
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06424-2104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-918-3461
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 000950
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 1959
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------