Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | OH - PT4201 | OH |
Y | 2251N0400X | Physical Therapist - Neurology | OH - PT4201 | OH |
NPI | 1003138751 |
---|---|
Provider Name | Ms. Lori Enders Lentz |
First Address | Liberty Township, OH 45044-9156 |
Second Address | Liberty Township, OH 45044-9156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2010 |
Last Update Date | 15/04/2016 |