Individual
LORI FLANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
504 DENNIS DR, EUREKA, IL 61530-1675
(815) 674-5904
Mailing address
504 DENNIS DR, EUREKA, IL 61530-1675
(815) 674-5904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006824
IL
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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