Provider Demographics
NPI:1316326747
Name:OSTRANDER, DORINA EMILIA (LPTA)
Entity type:Individual
Prefix:
First Name:DORINA
Middle Name:EMILIA
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:DORINA
Other - Middle Name:EMILIA
Other - Last Name:LELUTIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC; CSCS
Mailing Address - Street 1:2952 CRECHE DR
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9707
Mailing Address - Country:US
Mailing Address - Phone:440-668-3930
Mailing Address - Fax:330-659-9419
Practice Address - Street 1:101 S BISSELL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-9170
Practice Address - Country:US
Practice Address - Phone:440-348-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09775174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist