Individual
LORYN SHEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3237 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 468-8288
Mailing address
2078 RACHEL DR, GREEN BAY, WI 54311-6322
(920) 615-6503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2620-19
WI
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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