Individual
DELORA 'LORA' HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA; DOR
Contact information
Practice address
621 S 4TH ST, LE SUEUR, MN 56058-2203
(507) 665-8689
(507) 665-0072
Mailing address
621 S 4TH ST, LE SUEUR, MN 56058-2203
(507) 665-8689
(507) 665-0072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1042
MN
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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