Individual
MRS. LORI RENEE BAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1045 DEARBAUGH AVE, WAPAKONETA, OH 45895-9245
(419) 738-3422
Mailing address
9470 COUNTY ROAD 60, DOLA, OH 45835-9717
(567) 674-0608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA02178
OH
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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