Individual
MRS. LORI JOAN NICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1011 W PENN AVE, ROBESONIA, PA 19551-9550
(610) 589-2263
Mailing address
1011 W PENN AVE, ROBESONIA, PA 19551-9550
(610) 589-2263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000075
PA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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