LORI ANN DISSEN

APPLETON, WI
NPI1609989227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  790-019)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
-- LORI ANN DISSEN PTA, CWT
10 TRI PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-7902
Mailing Address
-- LORI ANN DISSEN PTA, CWT
212 LILAC LN
LITTLE CHUTE, WI 54140-1118
Phone number: 920-687-1857
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