Individual
KRISTA LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4631 HICKORY WOODS LN, MASON, OH 45040-4517
(513) 398-3741
Mailing address
5891 MAXFLI LN, MASON, OH 45040-4844
(513) 526-3980
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT004784
OHIO OCCUPATIONAL THERAPY LICENSE
OH
Enumeration date
08/15/2017
Last updated
08/15/2017
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