Provider Demographics
NPI:1275703167
Name:BYE, LORI J (OTR)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:J
Last Name:BYE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 NORTH 4TH STREET
Mailing Address - Street 2:FARGO PUBLIC SCHOOLS
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102
Mailing Address - Country:US
Mailing Address - Phone:701-446-4835
Mailing Address - Fax:
Practice Address - Street 1:1729 SOUTH 16TH STREET
Practice Address - Street 2:LEWIS AND CLARK ELEMENTARY
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-446-4835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND409225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist