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Individual

MRS. LISA WOLANIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
186970BAGLEY ROAD, MIDDLEBURG HTS, OH 44130
(440) 816-4826
(440) 816-4850
Mailing address
18697 BAGLEY RD, CLEVELAND, OH 44130-3417
(440) 816-4826
(440) 816-4850

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5688
OH

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
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