Provider Demographics
NPI:1376082438
Name:LACHOWYN, JULIE DAWN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DAWN
Last Name:LACHOWYN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 STONEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1821
Mailing Address - Country:US
Mailing Address - Phone:440-934-5124
Mailing Address - Fax:
Practice Address - Street 1:3075 STONEY RIDGE RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1821
Practice Address - Country:US
Practice Address - Phone:440-934-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA006826224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant