Provider Demographics
NPI:1245313030
Name:HOLTZINGER, LORI JANE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:JANE
Last Name:HOLTZINGER
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 1:3036 MAYFRED LN
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5244
Mailing Address - Country:US
Mailing Address - Phone:717-731-1871
Mailing Address - Fax:
Practice Address - Street 1:55 MILLER STREET
Practice Address - Street 2:
Practice Address - City:SUMMERDALE
Practice Address - State:PA
Practice Address - Zip Code:17093-0489
Practice Address - Country:US
Practice Address - Phone:717-732-8400
Practice Address - Fax:717-732-8414
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-000260-L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist