Individual
LARA MCCAULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4889 15TH ST SW, CANTON, OH 44710-1158
(330) 812-1094
Mailing address
4889 15TH ST SW, CANTON, OH 44710-1158
(330) 812-1094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4982
OH
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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