Individual
MR. THOMAS ALTON LORREN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3206 N 4TH ST, LONGVIEW, TX 75605-5143
(903) 753-6635
Mailing address
566 HIDE A WAY LN E, HIDEAWAY, TX 75771-5242
(903) 720-7977
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
158949
TX
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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