Individual
MRS. LORI LYNN WOOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7109
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1036019
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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