Individual
LORRAINE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT22526
CA
Other
Enumeration date
02/13/2007
Last updated
12/29/2020
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