LORI A FLESVIG

PORTAGE, IN
NPI1902003957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001475A)
Enumeration Date2007-07-02
Last Update Date2007-07-08
Business Address
-- LORI A FLESVIG PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- LORI A FLESVIG PTA
1102 COUNTRY CLUB DR
CROWN POINT, IN 46307
Phone number: 219-765-2596