Individual
MRS. LORI LYNN DALLACHEISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
8346 BUNKER HILL RD SW, PORT WASHINGTON, OH 43837-9018
(740) 498-9745
(740) 498-9745
Mailing address
8346 BUNKER HILL RD SW, PORT WASHINGTON, OH 43837-9018
(740) 498-9745
(740) 498-9745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 006314
OH
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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