Individual
LISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 418-9313
Mailing address
PO BOX 637, ZOAR, OH 44697-0637
(330) 859-2714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.00928
OH
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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