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NPI Code Detail

MEDICARE: ANN LO OTR/L

MEDICARE: ANN LO 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
1225XP0200XPediatric Occupational TherapistOT-003885OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT-003885OTHEROHOHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND ATHLETIC TRAINERS BOARD

General Provider Information

NPI Number : 1992120174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LO OTR/L
Provider Business Mailing Address
First Line : 2140 ATLAS ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9647
Country : US
Telephone Number : 614-921-7084
Fax Number :
Provider Business Practice Location Address
First Line : 2140 ATLAS ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9647
Country : US
Telephone Number : 614-921-7084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2014
Last Update Date : 02/25/2014

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Directions to “ ANN LO OTR/L” Practice Location

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