| NPI | 1639309693 |
|---|---|
| Former Name | LORI GROTHEER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3004) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 000992) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2022-07-21 |