Lorraine Bae

NPI #1972213403 in Southlake, Texas

Provider Information

NPI Number: 1972213403
Entity Type: Individual
Name: Lorraine Bae
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 180 STATE ST STE 225
City: Southlake
State: Texas
ZIP Code: 76092-7632
Phone: (866) 839-6979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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