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NPI Code Detail

MEDICARE: MS. LORELEI LC TITUS-HOOPER OTR/L

MEDICARE: MS. LORELEI LC TITUS-HOOPER OTR/L
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 Therapist01265IA
2225XP0019XPhysical Rehabilitation Occupational Therapist01265IA
3225XP0200XPediatric Occupational Therapist01265IA

General Provider Information

NPI Number : 1265747612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORELEI LC TITUS-HOOPER OTR/L
Provider Business Mailing Address
First Line : 1561 320TH AVE
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-9761
Country : US
Telephone Number : 319-850-1554
Fax Number :
Provider Business Practice Location Address
First Line : 1561 320TH AVE
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-9761
Country : US
Telephone Number : 319-850-1554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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