Provider Demographics
NPI:1154563492
Name:BREES, LORI JANEEN (OTR/L)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:JANEEN
Last Name:BREES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:JANEEN
Other - Last Name:BREES EAKLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3919 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1414
Mailing Address - Country:US
Mailing Address - Phone:253-752-5677
Mailing Address - Fax:
Practice Address - Street 1:3919 S 19TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1414
Practice Address - Country:US
Practice Address - Phone:253-752-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist