Doctor Name: | MRS. LORI SPOONER-PORTER |
NPI Number: | 1629443866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PT |
License Number: | 10823 |
Business Practice Address: | 1 Kings Way Hopedale, MA - 017472015 |
Business Phone Number: | 5083358517 |
Business Fax Number: | |
Mailing Address: | 1 Kings Way, HOPEDALE |
State: | MA |
Postal Code: | 017472015 |
Phone Number: | 5083358517 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2015 |
NPI Last Update Date: | 12/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 10823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |