Provider Demographics
NPI:1548543234
Name:GEORGE, LORRIE ANN (PHD, OTR/L, ATP)
Entity type:Individual
Prefix:DR
First Name:LORRIE
Middle Name:ANN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHD, OTR/L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 CUTTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5563
Mailing Address - Country:US
Mailing Address - Phone:501-733-6348
Mailing Address - Fax:
Practice Address - Street 1:207 FRED RAINS DRIVE
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120
Practice Address - Country:US
Practice Address - Phone:501-834-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR 241252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency