Provider Demographics
NPI:1346678455
Name:MCHENRY LOMAS, SAVANNA (OTR/L)
Entity Type:Individual
Prefix:
First Name:SAVANNA
Middle Name:
Last Name:MCHENRY LOMAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SAVANNA
Other - Middle Name:
Other - Last Name:MCHENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2109
Mailing Address - Country:US
Mailing Address - Phone:316-655-9637
Mailing Address - Fax:
Practice Address - Street 1:873 LAKE GULCH RD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-9746
Practice Address - Country:US
Practice Address - Phone:720-927-5109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5803225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist