Provider Demographics
NPI:1053851576
Name:GIOVANNUCCI RHONE, LORA (OT)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:GIOVANNUCCI RHONE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:CLAUDIA
Other - Last Name:RHONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:2170 BRICKER CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7464
Mailing Address - Country:US
Mailing Address - Phone:740-703-5241
Mailing Address - Fax:
Practice Address - Street 1:2170 BRICKER CT
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7464
Practice Address - Country:US
Practice Address - Phone:740-703-5241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006316225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist