Individual
MS. LORELEI LC TITUS-HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1561 320TH AVE, FORT MADISON, IA 52627-9761
(319) 850-1554
Mailing address
1561 320TH AVE, FORT MADISON, IA 52627-9761
(319) 850-1554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01265
IA
225XP0019X
Physical Rehabilitation Occupational Therapist
01265
IA
225XP0200X
Pediatric Occupational Therapist
01265
IA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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