Lori Ann Fetzer
Occupational Therapist
650 Paul Short Rd
Penfield
, Pennsylvania 15849-2424
Lori Ann Fetzer
Occupational Therapist
650 Paul Short Rd
Penfield
, Pennsylvania 15849-2424
(814) 590-3298
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Lori Ann Fetzer
- 650 Paul Short Rd
- Penfield, PA
- Zip : 15849-2424
- Phone : (814) 590-3298
Second Address
- Lori Ann Fetzer
- 650 Paul Short Rd
- Penfield, PA
- Zip : 15849-2424
- Phone : (814) 590-3298
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC008809 | PA |
National Provider Identifier
| NPI | 1003062704 |
|---|---|
| Provider Name | Lori Ann Fetzer |
| First Address | Penfield, PA 15849-2424 |
| Second Address | Penfield, PA 15849-2424 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2008 |
| Last Update Date | 13/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.