Individual
MRS. LORI ANN CHRISTIANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
24 VAIL ST, NORTHPORT, NY 11768-3038
(631) 261-0461
Mailing address
24 VAIL ST, NORTHPORT, NY 11768-3038
(631) 261-0461
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011366-1
NY
Other
Enumeration date
02/15/2007
Last updated
04/10/2019
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