Provider Demographics
NPI:1073650917
Name:FROEHLING, LORI A (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:FROEHLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 193RD ST W
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-7101
Mailing Address - Country:US
Mailing Address - Phone:651-460-3429
Mailing Address - Fax:
Practice Address - Street 1:1284 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1253
Practice Address - Country:US
Practice Address - Phone:612-775-2950
Practice Address - Fax:651-686-0499
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN41182251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic