Provider Demographics
NPI:1922209964
Name:LOHRENZ, SHARENNE G (COTA)
Entity Type:Individual
Prefix:
First Name:SHARENNE
Middle Name:G
Last Name:LOHRENZ
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15014 NW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:BURRTON
Mailing Address - State:KS
Mailing Address - Zip Code:67020-9093
Mailing Address - Country:US
Mailing Address - Phone:620-345-8491
Mailing Address - Fax:
Practice Address - Street 1:86 22ND AVE
Practice Address - Street 2:
Practice Address - City:MOUNDRIDGE
Practice Address - State:KS
Practice Address - Zip Code:67107-7003
Practice Address - Country:US
Practice Address - Phone:620-345-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1800067224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant