Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0119000462 | VA |
NPI | 1467644252 |
---|---|
Provider Name | Ms. Lori Morrow Shiffman |
First Address | Midlothian, VA 23113-6103 |
Second Address | Midlothian, VA 23113-6103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 15/08/2007 |