MS. Lori Childers, PTA

NPI #1558475327 in W Melbourne, Florida

Provider Information

NPI Number: 1558475327
Entity Type: Individual
Name: MS. Lori Childers, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2129 W NEW HAVEN AVE
City: W Melbourne
State: Florida
ZIP Code: 32904
Phone: (321) 724-0060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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