Individual
LORI LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 COLUMBIA RD, MEDINA, OH 44256-9414
(330) 483-3131
Mailing address
1131 HILLVIEW WAY, MEDINA, OH 44256-7681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3708
OH
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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