Individual
MRS. LORI JEAN MOOMAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
275 E SUNSET DR, RITTMAN, OH 44270-1165
(330) 927-2060
(330) 927-4501
Mailing address
145 S CROWN HILL RD, ORRVILLE, OH 44667-1325
(330) 683-2963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00885
OH
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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