Individual
MS. LAUREN ELIZABETH PERISA-CICCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1553 NILES CORTLAND RD SE STE 1, WARREN, OH 44484-3073
(330) 372-2324
(330) 372-2309
Mailing address
1553 NILES CORTLAND RD SE STE 1, WARREN, OH 44484-3073
(330) 372-2324
(330) 372-2309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014947
OH
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109240
—
OH
Enumeration date
08/07/2014
Last updated
12/08/2015
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