Individual
LORI KATHLEEN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10805 W SANTA FE DR, SUN CITY, AZ 85351-2609
(845) 325-7674
Mailing address
4 BRADY RD, WARWICK, NY 10990-3804
(845) 325-7674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32858
AZ
Other
Enumeration date
08/16/2017
Last updated
03/28/2023
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