Individual
LORI ANN MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1031 W 34TH ST STE 450, LOS ANGELES, CA 90089-3603
(213) 740-0215
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 740-0215
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT42380
CA
Other
Enumeration date
05/02/2007
Last updated
11/27/2023
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