Individual
LAURA B WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
2117 PLEASANT COLONY DR, LEWIS CENTER, OH 43035-8821
(330) 280-4530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10117
OH
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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