Individual
MS. LORI WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 RAPER ST, TROY, OH 45373-3521
(937) 573-6064
Mailing address
15 RAPER ST, TROY, OH 45373-3521
(937) 573-6064
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.018183
OH
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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