Individual
ABIGAIL MARIE LORENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PROFESSIONAL DR, SUITE 10, ALTON, IL 62002-5068
(618) 462-4621
Mailing address
1 PROFESSIONAL DR, SUITE 10, ALTON, IL 62002-5068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022813
IL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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