Provider Demographics
NPI:1992948822
Name:SONNIER, LORRI LARSON (PT)
Entity type:Individual
Prefix:
First Name:LORRI
Middle Name:LARSON
Last Name:SONNIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LORRI
Other - Middle Name:MARIE
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1014 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-3442
Mailing Address - Country:US
Mailing Address - Phone:870-793-2488
Mailing Address - Fax:
Practice Address - Street 1:1014 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-3442
Practice Address - Country:US
Practice Address - Phone:870-793-2488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT-3117225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist