Individual
LORI PORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GALAXY DR, EVANSVILLE, IN 47715-1687
(812) 475-2822
Mailing address
927 PLAZA DR, EVANSVILLE, IN 47715-4411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003551A
IN
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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