Individual
LORI B. DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1300 EGG HARBOR RD STE 152, STURGEON BAY, WI 54235-1248
(920) 746-0410
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12032-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12032-024
WI LICENSE
WI
Enumeration date
06/07/2012
Last updated
08/08/2024
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