Individual
MISS LORI L DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2211 S HIGHWAY 77 STE 200, LYNN HAVEN, FL 32444-4641
(850) 252-1414
Mailing address
104 ROSE CORAL DR, PANAMA CITY BEACH, FL 32408-5108
(850) 532-4014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30604
FL
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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