Individual
MRS. LORI NOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7120 HEIDER RD, ABRAMS, WI 54101-9602
(920) 826-2436
Mailing address
7120 HEIDER RD, ABRAMS, WI 54101-9602
(920) 826-2436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1168-019
WI
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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