Provider Demographics
NPI:1952598021
Name:HAUS, PAMELA HOPE (OTR/L)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:HOPE
Last Name:HAUS
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 1:16699 LANIER AVE
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6469
Mailing Address - Country:US
Mailing Address - Phone:440-238-0934
Mailing Address - Fax:
Practice Address - Street 1:1640 WEST REDSTONE CENTER DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098
Practice Address - Country:US
Practice Address - Phone:888-800-8744
Practice Address - Fax:866-645-0891
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH004220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist