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Individual

LAURYN BERWANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
182 FIRESTONE DR, DELAWARE, OH 43015-4252
(740) 816-8041
Mailing address
182 FIRESTONE DR, DELAWARE, OH 43015-4252

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
08740
OH
225200000X
Physical Therapy Assistant
Primary
10067
CA
225200000X
Physical Therapy Assistant
2092413
TX

Other

Enumeration date
06/29/2015
Last updated
06/29/2015
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