| NPI | 1962633651 |
|---|---|
| Former Name | LORI SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12184) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-11-09 |