Individual
MRS. LORI SOLBERG POTHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2345 CANTERBURY LN, SISTER BAY, WI 54234-5602
(820) 854-4111
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070004480
IL
225100000X
Physical Therapist
Primary
13511
WI
Other
Enumeration date
02/22/2007
Last updated
08/09/2024
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