Individual
MRS. LORI ANN RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10638 LONG DRIVE, FANNETTSBURG, PA 17221-0296
(717) 957-6687
Mailing address
PO BOX 296, 10638 LONG LANE, FANNETTSBURG, PA 17221-0296
(717) 957-6687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001530L
PA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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