Individual
LORI ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA WCC
Contact information
Practice address
1947 CASITA DR, GRANTS PASS, OR 97527-9206
(541) 479-6391
Mailing address
1947 CASITA DR, GRANTS PASS, OR 97527-9206
(541) 479-6391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7826
OR
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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