Individual
LORI STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 E PENNSYLVANIA AVE, DELAND, FL 32724-3510
(386) 740-7748
Mailing address
3031 WESTGATE DR, EUSTIS, FL 32726-2307
(352) 483-2520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA
LICENSE#
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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