Individual
LORI CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
509 MEADOWLARK AVE, CRANE, MO 65633-9317
(417) 535-6255
Mailing address
509 MEADOWLARK LANE, CRANE, MO 65633
(417) 535-6255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001005034
MO
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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