Individual
JEFFREY LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
(440) 237-3104
Mailing address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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