Provider Demographics
NPI:1740417005
Name:MORIN, LORI L (PT)
Entity Type:Individual
Prefix:MISS
First Name:LORI
Middle Name:L
Last Name:MORIN
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 1:606 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-6084
Mailing Address - Country:US
Mailing Address - Phone:860-886-2042
Mailing Address - Fax:860-885-1811
Practice Address - Street 1:606 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-6084
Practice Address - Country:US
Practice Address - Phone:860-886-2042
Practice Address - Fax:860-885-1811
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist