Provider Demographics
NPI:1740620863
Name:THOMPSON, LORI A (OTR)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 E SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3959
Mailing Address - Country:US
Mailing Address - Phone:281-487-2786
Mailing Address - Fax:
Practice Address - Street 1:4500 E SAM HOUSTON PKWY S
Practice Address - Street 2:SUITE 215
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3959
Practice Address - Country:US
Practice Address - Phone:281-487-2786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105113225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand