Individual
MR. TERRANCE N LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
1825 PARADISE RD, UNIT 502, ORRVILLE, OH 44667-9421
(330) 642-0227
Mailing address
1825 PARADISE RD, UNIT 502, ORRVILLE, OH 44667-9421
(330) 642-0227
(330) 642-0227
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270-6807
—
OH
Enumeration date
09/22/2006
Last updated
11/14/2007
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