Individual
LORI LYNN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4855 BLUE DIAMOND RD STE 210, LAS VEGAS, NV 89139-7602
(725) 207-3770
(702) 505-9020
Mailing address
1901 PLACID RAVINE ST, LAS VEGAS, NV 89117-5961
(949) 275-2516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 2425
CA
225X00000X
Occupational Therapist
Primary
OT-3052
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOT2425A
MEDICAR PTAN
CA
Enumeration date
09/29/2006
Last updated
10/12/2022
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