Provider Demographics
NPI:1184337487
Name:LOZANO, CHLOE ALEXANDRA (OTR/L)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ALEXANDRA
Last Name:LOZANO
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 1:300 E 39TH ST # 72
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1531
Mailing Address - Country:US
Mailing Address - Phone:314-650-3705
Mailing Address - Fax:
Practice Address - Street 1:300 E 39TH ST # 72
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1531
Practice Address - Country:US
Practice Address - Phone:314-650-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020026543225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist