Individual
LISA TEYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 N HENRY ST, CRESTLINE, OH 44827-1362
(419) 512-6106
Mailing address
349 N HENRY ST, CRESTLINE, OH 44827-1362
(419) 512-6106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05058
OH
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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