Individual
NANCY STINSON LOLLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2321 NEWBURG ROAD, FORTUNA REHABILITATION AND WELLNESS, FORTUNA, CA 95540
(707) 725-4467
Mailing address
2 PAINTER ST, RIO DELL, CA 95562-1319
(707) 599-9275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
316
CA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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