Individual
MRS. HEATHER MACAULAY LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
205 SOUTHWIND DR NE, WARREN, OH 44484-1085
(330) 603-5324
(330) 856-9005
Mailing address
205 SOUTHWIND DR NE, WARREN, OH 44484-1085
(330) 372-9209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
057250
PA
225100000X
Physical Therapist
Primary
7040
OH
Other
Enumeration date
12/11/2006
Last updated
07/22/2009
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