Individual
MRS. LORI MARIE MARSHERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
21308 JOHN MILLESS DR, ROGERS, MN 55374-4708
(763) 428-3510
Mailing address
17337 66TH PL N, MAPLE GROVE, MN 55311-3921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7173
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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