LORI LOUISE NISSEN

CONCORD, CA
NPI1801331566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT6071)
Enumeration Date2017-01-04
Last Update Date2017-01-04
Business Address
-- LORI LOUISE NISSEN PTA
2300 CLAYTON RD STE 1170
CONCORD, CA 94520-2100
Phone number: 925-726-0166
Mailing Address
-- LORI LOUISE NISSEN PTA
2300 CLAYTON RD STE 1170
CONCORD, CA 94520-2100
Phone number: 925-726-0166