Individual
LORI A MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 THIERER RD, MADISON, WI 53704-3721
(608) 241-4440
Mailing address
1765 THIERER RD, MADISON, WI 53704-3721
(608) 241-4440
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5208-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36114200
—
WI
Enumeration date
11/30/2006
Last updated
07/08/2007
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