Individual
LISA RAE CHAMPOIR-LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 12TH ST NW, CANTON, OH 44708-3818
(330) 455-5500
Mailing address
8392 ACADIA ST NW, MASSILLON, OH 44646-1406
(330) 904-0368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01142
OH
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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