Provider Demographics
NPI:1639292881
Name:GOWE-LAMBERT, DORRI JANE (OTRL)
Entity Type:Individual
Prefix:
First Name:DORRI
Middle Name:JANE
Last Name:GOWE-LAMBERT
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 WRIGHTS MILL RD
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:MD
Mailing Address - Zip Code:21673-1758
Mailing Address - Country:US
Mailing Address - Phone:410-714-1929
Mailing Address - Fax:
Practice Address - Street 1:4440 WRIGHTS MILL RD
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:MD
Practice Address - Zip Code:21673-1758
Practice Address - Country:US
Practice Address - Phone:410-714-1929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04752225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist