Doctor Name: | MRS. LORI M ANDERSON |
NPI Number: | 1013179555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT-MS |
License Number: | 1168506 |
Business Practice Address: | 6600 Fish Pond Rd Suite 204 Waco, TX - 767102581 |
Business Phone Number: | 2547418450 |
Business Fax Number: | |
Mailing Address: | 4305 Larry Don Ln, WACO |
State: | TX |
Postal Code: | 767085852 |
Phone Number: | 2544053715 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 12/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1168506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |