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Individual

MRS. LARISSA MARIE WANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
35840 CHESTER RD, SUITE F, AVON, OH 44011
(440) 937-5210
(440) 937-5212
Mailing address
35840 CHESTER RD, SUITE F, AVON, OH 44011
(440) 937-5210
(440) 937-5212

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017679
OH

Other

Enumeration date
10/08/2018
Last updated
01/23/2024
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