| Doctor Name: | IAN GRANT LOTT |
| NPI Number: | 1033584537 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT30985 |
| Business Practice Address: | 16690 Sw Chipola Rd Blountstown, FL - 324241953 |
| Business Phone Number: | 8506746405 |
| Business Fax Number: | |
| Mailing Address: | 4191 N Landar Dr, LAKE WORTH |
| State: | FL |
| Postal Code: | 334638906 |
| Phone Number: | 5616764907 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2015 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | PT30985 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |