Individual
LORI LYNN ROELOFS
Active
Individual
LORI LYNN ROELOFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
25455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT254550
BLUE CROSS PROVIDER ID
CA
Enumeration date
06/23/2010
Last updated
10/16/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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