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Individual

MS. KATHLEEN LORMIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
548 HEARTHGLEN BLVD, WINTER GARDEN, FL 34787-4524
(407) 949-1106
(407) 614-4573
Mailing address
548 HEARTHGLEN BLVD, WINTER GARDEN, FL 34787-4524
(407) 949-1106
(407) 614-4573

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT34943
FL
2251N0400X
Neurology Physical Therapist
PT34943
FL
2251X0800X
Orthopedic Physical Therapist
PT34943
FL
225700000X
Massage Therapist
Primary
MA34943
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
684561496
FL
Enumeration date
08/16/2006
Last updated
07/09/2008
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