Provider Demographics
NPI:1962609107
Name:SLOWTER, DOROTHY JEAN (OTASSISTANT)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:JEAN
Last Name:SLOWTER
Suffix:
Gender:F
Credentials:OTASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 W COLER RD NW
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:OH
Mailing Address - Zip Code:43758-9322
Mailing Address - Country:US
Mailing Address - Phone:740-557-3179
Mailing Address - Fax:
Practice Address - Street 1:2339 W COLER RD NW
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:OH
Practice Address - Zip Code:43758-9322
Practice Address - Country:US
Practice Address - Phone:740-557-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03184224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant