Provider Demographics
NPI:1386895365
Name:STUTZMAN, LORA JEAN (DPT)
Entity type:Individual
Prefix:DR
First Name:LORA
Middle Name:JEAN
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:8601 VETERANS HWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1547
Mailing Address - Country:US
Mailing Address - Phone:410-987-2162
Mailing Address - Fax:410-987-2975
Practice Address - Street 1:3179 BRAVERTON ST
Practice Address - Street 2:SUITE 212
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2665
Practice Address - Country:US
Practice Address - Phone:202-782-6371
Practice Address - Fax:410-956-8038
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2010-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD22605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist