Individual
MRS. LORI ANN ELVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9518 COMMODORE DR, SEMINOLE, FL 33776-1132
(727) 593-1229
Mailing address
9518 COMMODORE DR, SEMINOLE, FL 33776-1132
(727) 593-1229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0001309
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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