Provider Demographics
NPI:1396206322
Name:LOWARY, CLAUDETTE RASH (COTA)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDETTE
Middle Name:RASH
Last Name:LOWARY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:95057 CHESWICK OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BCH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-9724
Mailing Address - Country:US
Mailing Address - Phone:904-491-4845
Mailing Address - Fax:
Practice Address - Street 1:48 OSPREY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-4955
Practice Address - Country:US
Practice Address - Phone:904-277-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA14698224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant