Individual
MRS. LORI ANNE FORWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
14334 HIGHWAY 67, MALVERN, AR 72104-7328
(501) 332-6613
Mailing address
1021 OXFORD AVE, BENTON, AR 72019-2773
(501) 840-1868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2061
AR
Other
Enumeration date
07/21/2012
Last updated
07/21/2012
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