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NPI Code Detail

MEDICARE: LORI WOHLFARTH OTR

MEDICARE: LORI WOHLFARTH OTR
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 Therapist3146NC

General Provider Information

NPI Number : 1356475305
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI WOHLFARTH OTR
Provider Business Mailing Address
First Line : 2918 BROOKNELL CT
Second Line :
City : CONCORD
State : NC
Zip : 28027-3427
Country : US
Telephone Number : 704-784-8549
Fax Number :
Provider Business Practice Location Address
First Line : 1810 CONCORD LAKE RD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-6434
Country : US
Telephone Number : 704-933-3781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ LORI WOHLFARTH OTR” Practice Location

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