Lori Ann Dissen, PTA, CWT

NPI #1609989227 in Appleton, Wisconsin

Provider Information

NPI Number: 1609989227
Entity Type: Individual
Name: Lori Ann Dissen, PTA, CWT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, CWT
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10 TRI PARK WAY
City: Appleton
State: Wisconsin
ZIP Code: 54914-1658
Phone: (920) 831-7902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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