Individual
LORI VYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
433 PLAZA REAL, SUITE 255, BOCA RATON, FL 33432-3932
(561) 237-1717
(561) 237-1725
Mailing address
433 PLAZA REAL, SUITE 255, BOCA RATON, FL 33432-3932
(561) 237-1717
(561) 237-1725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA17624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA17624
STATE LICENSE
FL
Enumeration date
07/23/2007
Last updated
07/23/2007
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