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Individual

LORI JANDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 MAIN ST UNIT T-2, NEWPORT, ME 04953-4156
(207) 924-0077
(207) 924-0078
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6805
SC
225100000X
Physical Therapist
Primary
PT5002
ME

Other

Enumeration date
12/12/2014
Last updated
01/14/2026
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