Provider Demographics
NPI:1942395025
Name:ADELMANN, LORIE A (OTR/L)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:A
Last Name:ADELMANN
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 1:6235 WINSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-7286
Mailing Address - Country:US
Mailing Address - Phone:850-826-2858
Mailing Address - Fax:
Practice Address - Street 1:4595 E HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8847
Practice Address - Country:US
Practice Address - Phone:850-826-2858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
WI4190-026225X00000X
FLOT12763225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist