Individual
MISS LAUREN MICHELE STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1223 MARKET AVE N, CANTON, OH 44714-2603
(330) 453-3458
Mailing address
2509 CLEARVIEW AVE NW, CANTON, OH 44708-2548
(330) 309-7103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04908
OH
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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