Individual
MRS. LORI ANN INCLEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
1534 E LOCUST PL, CHANDLER, AZ 85249-2631
(954) 560-3748
Mailing address
1534 E LOCUST PL, CHANDLER, AZ 85249-2631
(954) 560-3748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6046A
AZ
225200000X
Physical Therapy Assistant
9463
FL
2255A2300X
Athletic Trainer
0401
AZ
2255A2300X
Athletic Trainer
Primary
4649
FL
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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