Provider Demographics
NPI:1891193033
Name:LINKHART, LUWANNA LOREE (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:LUWANNA
Middle Name:LOREE
Last Name:LINKHART
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 1:1777 FAWCETT RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9453
Mailing Address - Country:US
Mailing Address - Phone:937-346-0840
Mailing Address - Fax:
Practice Address - Street 1:1777 FAWCETT RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-9453
Practice Address - Country:US
Practice Address - Phone:937-346-0840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02703224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant