Individual
MRS. LORI MARGARET TISSUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
471 BRIERLY LN, GIBSONIA, PA 15044-8947
(724) 625-3824
Mailing address
471 BRIERLY LN, GIBSONIA, PA 15044-8947
(724) 625-3824
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007464L
PA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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