Provider Demographics
NPI:1558861641
Name:GABRINTINA, LORIVI (COTA/L)
Entity Type:Individual
Prefix:
First Name:LORIVI
Middle Name:
Last Name:GABRINTINA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:LORIVI
Other - Middle Name:
Other - Last Name:GABRINTINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:11544 BRUNDIDGE TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-5500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1520 PROSPERITY DRIVE
Practice Address - Street 2:SUITE #210
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901
Practice Address - Country:US
Practice Address - Phone:301-869-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA02230225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics