Individual
LORI A HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED P.T.A.
Contact information
Practice address
196 VINING CT, ORMOND BEACH, FL 32176-6658
(386) 317-6444
(386) 317-6445
Mailing address
196 VINING CT, ORMOND BEACH, FL 32176-6658
(386) 317-6444
(386) 317-6445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28582
FL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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