Provider Demographics
NPI:1225177819
Name:LOWENSTEIN, NANCY AUGUSTA (OTR-L)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:AUGUSTA
Last Name:LOWENSTEIN
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2710
Mailing Address - Country:US
Mailing Address - Phone:781-860-7288
Mailing Address - Fax:781-861-3430
Practice Address - Street 1:21 WHEELER RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-2710
Practice Address - Country:US
Practice Address - Phone:781-860-7288
Practice Address - Fax:781-861-3430
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1890225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAOT0058OtherOCCUPATIONAL THERAPY
MA0393959Medicaid
MALO Y69287Medicare ID - Type Unspecified