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Individual

LORI WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1302 WOODWARD AVE, MUSCLE SHOALS, AL 35661-2236
(256) 386-0885
(256) 386-0895
Mailing address
6891 6TH ST, LEIGHTON, AL 35646-3540
(256) 446-6809

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH3364
LICENSE #
AL
Enumeration date
08/30/2006
Last updated
08/07/2007
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