Linville-Petrik, Lori Ann

Linville-Petrik, Lori Ann is an individual health care provider with primary practice located at 2585 Miracle Mile Suite 107, Bullhead City AZ 86442-7522. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Linville-Petrik, Lori Ann can be contacted via phone (928) 444-8168.

Contact Information

Primary practice address
2585 Miracle Mile Suite 107 Bullhead City AZ 86442-7522
Phone: (928) 444-8168
Fax: (928) 444-8169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4214 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1193 Nevada

Profile Details

NPI number 1518065721
LBN Legal business name Linville-Petrik, Lori Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518065721 NPPES
Arizona Other 4214 LICENSURE
Arizona Other 1193 LICENSURE

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