Johansen, Lori

Johansen, Lori is an individual health care provider with primary practice located at 200 S 9Th St , De Pere WI 54115-1393. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johansen, Lori can be contacted via phone (920) 336-5680.

Contact Information

Primary practice address
200 S 9Th St De Pere WI 54115-1393
Phone: (920) 336-5680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2417-19 Wisconsin

Profile Details

NPI number 1245789551
LBN Legal business name Johansen, Lori
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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