Individual
LORI FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1090 WYNBROOKE PL, MADISON, GA 30650-4131
(706) 474-1707
Mailing address
1090 WYNBROOKE PL, MADISON, GA 30650-4131
(706) 474-1707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001481
GA
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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