MRS. Lora Catherine Fedeson, P.T., C.M.T.

NPI #1730416470 in Milford, Michigan

Provider Information

NPI Number: 1730416470
Entity Type: Individual
Name: MRS. Lora Catherine Fedeson, P.T., C.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T., C.M.T.
Enumeration Date: Nov 16, 2009
Last Updated: Nov 16, 2009

Practice Location

Address: 1100 CORPORATE OFFICE DR
Address 2: SUITE 100
City: Milford
State: Michigan
ZIP Code: 48381-5001
Phone: (248) 684-1107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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