Individual
LORI LOUISE NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2300 CLAYTON RD STE 1170, CONCORD, CA 94520-2100
(925) 726-0166
Mailing address
2300 CLAYTON RD STE 1170, CONCORD, CA 94520-2100
(925) 726-0166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6071
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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