Provider Demographics
NPI:1649372087
Name:DORTCH, HOWARD LEWIS III (OTR/L)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:LEWIS
Last Name:DORTCH
Suffix:III
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1736
Mailing Address - Country:US
Mailing Address - Phone:828-277-6957
Mailing Address - Fax:828-277-6960
Practice Address - Street 1:1 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1736
Practice Address - Country:US
Practice Address - Phone:828-277-6957
Practice Address - Fax:828-277-6960
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0560225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0591490001Medicare NSC
2510080AMedicare ID - Type Unspecified