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1689769242
LORI WIEDOWER
RUSSELLVILLE, AR
NPI
1689769242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT 1017)
Enumeration Date
2006-10-03
Last Update Date
2023-01-31
Business Address
Mrs. LORI WIEDOWER P.T.
1301 RUSSELL RD
RUSSELLVILLE, AR 72802-4320
Phone number: 479-967-2316
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Mailing Address
Mrs. LORI WIEDOWER P.T.
P.O. DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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