Individual
MRS. LORI A SCHUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE, PORTAGE, WI 53901-0387
(608) 745-5063
(608) 745-6250
Mailing address
PO BOX 387, 2817 NEW PINERY ROAD, PORTAGE, WI 53901-0387
(608) 745-5063
(608) 745-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3177-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40111800
—
WI
Enumeration date
05/09/2008
Last updated
05/09/2008
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