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NPI Code Detail

MEDICARE: MRS. LORELEI JACINTO TODD OTR/L

MEDICARE: MRS. LORELEI JACINTO TODD 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 Therapist1003928OR

General Provider Information

NPI Number : 1598927279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORELEI JACINTO TODD OTR/L
Provider Business Mailing Address
First Line : 220 NE SAN BAYO CIR
Second Line :
City : NEWPORT
State : OR
Zip : 97365-2203
Country : US
Telephone Number : 541-264-0259
Fax Number :
Provider Business Practice Location Address
First Line : 835 SW 11TH ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4802
Country : US
Telephone Number : 541-265-5356
Fax Number : 541-265-8905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 06/25/2008

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Directions to “ MRS. LORELEI JACINTO TODD OTR/L” Practice Location

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