Individual
LORI ANN GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1130 W 53RD ST, DAVENPORT, IA 52806-2401
(563) 391-5342
Mailing address
3319 COVINGTON DR, DAVENPORT, IA 52806-3437
(563) 210-3419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002163
IA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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