Provider Demographics
NPI:1053346965
Name:KRAMER, LOIS E (MS,OTR/L)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:E
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5334 OLYMPIC DR NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1722
Mailing Address - Country:US
Mailing Address - Phone:253-853-5155
Mailing Address - Fax:253-853-5150
Practice Address - Street 1:5334 OLYMPIC DR NW
Practice Address - Street 2:SUITE 101
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1722
Practice Address - Country:US
Practice Address - Phone:253-853-5155
Practice Address - Fax:253-853-5150
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000505225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7302584OtherAETNA
WA8384570Medicaid
WAKR5874OtherREGENCE