Delora 'lora' Halverson, LPTA; DOR

NPI #1811372782 in Le Sueur, Minnesota

Provider Information

NPI Number: 1811372782
Entity Type: Individual
Name: Delora 'lora' Halverson, LPTA; DOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA; DOR
Enumeration Date: Jul 21, 2015
Last Updated: Jul 21, 2015

Practice Location

Address: 621 S 4TH ST
City: Le Sueur
State: Minnesota
ZIP Code: 56058-2203
Phone: (507) 665-8689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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