Individual
LORI PASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
128 TIRZAH ST, LEBANON, TN 37087-3874
(615) 969-3191
Mailing address
128 TIRZAH ST, LEBANON, TN 37087-3874
(615) 969-3191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002976
TN
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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