Individual
LORI M STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
101 N PINE ST, GARNETT, KS 66032-1134
(785) 448-2434
Mailing address
2525 NEBRASKA RD, OTTAWA, KS 66067-9560
(785) 418-7502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01778
KS
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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