Individual
LARISSA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
40778 BOYD RD, WELLSVILLE, OH 43968-9707
(330) 532-4937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 7081
OH
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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