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1205372760
LORI ANN RUSSELL
VIRGINIA BEACH, VA
NPI
1205372760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001051)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
Mrs. LORI ANN RUSSELL LPTA
2077 S INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23453-4780
Phone number: 757-802-3665
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Mailing Address
Mrs. LORI ANN RUSSELL LPTA
3805 HAZEL CT
VIRGINIA BEACH, VA 23456-4934
Phone number: 757-395-0298
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