Individual
MRS. LISA DANIELLA ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
4589 BELLVILLE NORTH RD, BELLVILLE, OH 44813-9080
(419) 571-3222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4744
OH
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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