Individual
LORI JEAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
Mailing address
425 DAVIS STREET, HAMMOND, WI 54015-9615
(715) 796-2218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10302024
WI
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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