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Individual

DR. LAUREN E MATHOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, CBIS

Contact information

Practice address
1816 GRAND CYPRESS BLVD, WAYNESVILLE, OH 45068-9805
(216) 534-8201
Mailing address
1816 GRAND CYPRESS BLVD, WAYNESVILLE, OH 45068-9805
(216) 534-8201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011828
OH
2251G0304X
Geriatric Physical Therapist
Primary
PT011828
OH
2251N0400X
Neurology Physical Therapist
PT011828
OH

Other

Enumeration date
02/14/2023
Last updated
03/16/2023
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