Provider Demographics
NPI:1578018552
Name:LOUTZENHISER, JO D (OTR/L)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:D
Last Name:LOUTZENHISER
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 1:30 ROTHROCK LOOP
Mailing Address - Street 2:SUITE B
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1331
Mailing Address - Country:US
Mailing Address - Phone:330-666-2228
Mailing Address - Fax:330-666-2223
Practice Address - Street 1:30 ROTHROCK LOOP
Practice Address - Street 2:SUITE B
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1331
Practice Address - Country:US
Practice Address - Phone:330-666-2228
Practice Address - Fax:330-666-2223
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008920225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOT.008920OtherOCCUPATIONAL THERAPIST