Lori Frost, OTR/L

Individual provider Active NPI Occupational Therapist · Madison, GA

NPI 1962670422 · NPPES record last updated Feb 18, 2008

Key facts

NPI
1962670422
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT001481 (GA)
Practice address
1090 Wynbrooke PL
Madison, GA 30650-4131
Phone
(706) 474-1707
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT001481GAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT001481 GA Yes

Addresses

Primary practice location

1090 Wynbrooke PL
Madison, GA 30650-4131

Mailing address

1090 Wynbrooke PL
Madison, GA 30650-4131
Phone (706) 474-1707

Other providers in Madison, GA

All providers in Madison, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.