Individual
LIA ELIZABETH KEITH REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1387 CARYL DR, BEDFORD, OH 44146-4528
(440) 439-1500
Mailing address
1387 CARYL DR, BEDFORD, OH 44146-4528
(440) 439-1500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14661
OH
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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