Lori Ann Dissen, PTA, CWT

Physical Therapy Assistant · Appleton, WI

Individual Active NPI

NPI number 1609989227

Practice location

10 Tri Park Way
Appleton, WI 54914-1658
Phone
(920) 831-7902
Fax
(920) 831-7939

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NPI record

NPI
1609989227
Entity type
Individual (Type 1)
Enumeration date
August 16, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 790-019 WI

Mailing address

212 Lilac Ln
Little Chute, WI 54140-1118
Phone
(920) 687-1857
Fax
(920) 831-7939

About Lori Dissen

Lori Ann Dissen, PTA, CWT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 10 Tri Park Way, Appleton, WI 54914-1658. The NPI number 1609989227 was assigned on August 16, 2006 and the record was last updated on July 8, 2007.

Lori Dissen lists a license in the registry: #790-019 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lori Ann Dissen, PTA, CWT?

The NPI number is 1609989227.

What is the phone number of Lori Dissen?

The phone number listed for the practice location is (920) 831-7902.

Where is Lori Dissen located?

10 Tri Park Way, Appleton, WI 54914-1658.

What is the taxonomy code for Lori Dissen?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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