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General NPI Number Information
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NPI Number | 1346349057
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Entity Type | Individual
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Provider Name | LORI P. CRISWELL P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1056 GOODLETTE RD N STE 100
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City | NAPLES
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State | FL
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Zip | 34102-5488
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Country | US
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Telephone | 239-430-0123
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Fax | 239-430-0124
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Provider Business Mailing Address
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Address Line | 1100 EASTHAM WAY APT 207
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City | NAPLES
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State | FL
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Zip | 34104-5761
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Country | US
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Telephone | 239-451-2521
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Fax | 239-353-0939
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 18911
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT 18911
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License Number State | FL
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