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NPI Code Detail

MEDICARE: LORI JILL FLAHERTY P.T.

MEDICARE: LORI JILL FLAHERTY P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2647CO

General Provider Information

NPI Number : 1962616193
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI JILL FLAHERTY P.T.
Provider Business Mailing Address
First Line : 312 HOPI DR
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81503-2811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8219
Country : US
Telephone Number : 970-255-1752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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Directions to “ LORI JILL FLAHERTY P.T.” Practice Location

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