Provider Demographics
NPI:1982726246
Name:TORRES, LORI R (MSOTR)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:R
Last Name:TORRES
Suffix:
Gender:F
Credentials:MSOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1954 NW BRITT RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9249
Mailing Address - Country:US
Mailing Address - Phone:786-863-0249
Mailing Address - Fax:772-232-8287
Practice Address - Street 1:1954 NW BRITT RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9249
Practice Address - Country:US
Practice Address - Phone:786-863-0249
Practice Address - Fax:772-232-8287
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11444225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889863400Medicaid
FL002765400Medicaid