Individual
MRS. LORI ANN BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5940 CLYDE MOORE DR, GROVEPORT, OH 43125-2009
(614) 492-2520
(614) 492-2532
Mailing address
5940 CLYDE MOORE DR, GROVEPORT, OH 43125-2009
(614) 492-2520
(614) 492-2532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009293
OH
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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