Provider Demographics
NPI:1952724353
Name:ENGINGER, LORI (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:ENGINGER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1462 ARROWHEAD CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8019
Mailing Address - Country:US
Mailing Address - Phone:513-894-3693
Mailing Address - Fax:
Practice Address - Street 1:1462 ARROWHEAD CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-8019
Practice Address - Country:US
Practice Address - Phone:513-894-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02131171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor