Individual
LORI DEE GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
ONE BEAR PLACE #97313, 1311 S. 5TH ST., WACO, TX 76798-7313
(254) 710-4026
Mailing address
ONE BEAR PLACE #97313, 1311 S. 5TH ST., WACO, TX 76798-7313
(254) 710-4026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2947
TX
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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