| NPI | 1386182566 |
|---|---|
| Former Name | LORI SERRES |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 593) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00869) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |