Individual
MRS. LORRIE C KANOZA
Active
Individual
MRS. LORRIE C KANOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 01591
OH
225XH1200X
Hand Occupational Therapist
R5087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344794
ANTHEM
OH
05
—
2507095
—
OH
01
—
P00325332
MEDICARE RAILROAD
OH
Enumeration date
07/13/2005
Last updated
02/06/2017
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