Provider Demographics
NPI:1902436587
Name:CASASFRANCO, LORA (OTR/L, CLT)
Entity type:Individual
Prefix:MRS
First Name:LORA
Middle Name:
Last Name:CASASFRANCO
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:
Other - Last Name:DOHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:267 W END RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37854-7041
Mailing Address - Country:US
Mailing Address - Phone:653-334-9338
Mailing Address - Fax:855-952-5846
Practice Address - Street 1:267 W END RD
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:TN
Practice Address - Zip Code:37854-7041
Practice Address - Country:US
Practice Address - Phone:653-334-9338
Practice Address - Fax:855-952-5846
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6456225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist