Individual
LAVONNE ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
345 E BOUNDARY ST, PERRYSBURG, OH 43551-2760
(419) 873-6100
Mailing address
7809 N MOON LAKE DR, HOLLAND, OH 43528-7843
(419) 343-7799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003663
OH
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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