Basic Information
Provider Information
NPI: 1477022747
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RANIERI
FirstName: KATHRYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5801 DAWN VISTA OVAL
Address2:  
City: PARMA
State: OH
PostalCode: 441296118
CountryCode: US
TelephoneNumber: 4402120889
FaxNumber:  
Practice Location
Address1: 2801 E ROYALTON RD
Address2:  
City: BROADVIEW HTS
State: OH
PostalCode: 441472827
CountryCode: US
TelephoneNumber: 4405264770
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/16/2018
LastUpdateDate: 11/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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