Individual
LORI PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2296 JEFFERSON AVE SE, PORT ORCHARD, WA 98366-3048
(360) 620-7019
Mailing address
2296 JEFFERSON AVE SE, PORT ORCHARD, WA 98366-3048
(360) 620-7019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160104716
WA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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