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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518065721 | NPPES |
| Arizona | Other | 4214 | LICENSURE |
| Arizona | Other | 1193 | LICENSURE |
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