MEDICARE: MRS. LORA L. RAINS M.S., 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
1	225X00000X	Occupational Therapist	31000123	IN

General Provider Information

NPI Number	:	1518043926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORA L. RAINS M.S., OTR

Provider Business Mailing Address
First Line	:	3417 S MEMORIAL DR
Second Line	:
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-1127
Country	:	US
Telephone Number	:	765-529-6818
Fax Number	:	765-529-6818

Provider Business Practice Location Address
First Line	:	3417 S MEMORIAL DR
Second Line	:
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-1127
Country	:	US
Telephone Number	:	765-529-6818
Fax Number	:	765-529-6818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/09/2007

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