Individual
MRS. LORI JO MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 TRACY WAY, CHARLESTON, WV 25311-1258
(304) 388-4900
(304) 388-4910
Mailing address
5120 BEECHTREE CIR, CHARLESTON, WV 25313-1245
(304) 776-6102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
635
WV
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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