Provider Demographics
NPI:1396380432
Name:SINES, TAMARA E (OTR/L)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:E
Last Name:SINES
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 1:4569 VINEYARD DR
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4441
Mailing Address - Country:US
Mailing Address - Phone:440-506-6784
Mailing Address - Fax:
Practice Address - Street 1:531 OPPORTUNITY WAY
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:OH
Practice Address - Zip Code:44050-9016
Practice Address - Country:US
Practice Address - Phone:440-506-6784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT008374225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist