Provider Demographics
NPI:1720376346
Name:HOULE, LORI A (COTA/L)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:HOULE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AUTUMN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-5043
Mailing Address - Country:US
Mailing Address - Phone:401-573-7416
Mailing Address - Fax:
Practice Address - Street 1:1 AUTUMN RIDGE RD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5043
Practice Address - Country:US
Practice Address - Phone:401-573-7416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-17
Last Update Date:2011-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant