Individual
MRS. LISA CAROL FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3015 17TH ST NW, CANTON, OH 44708-6004
(330) 452-6720
Mailing address
22701 MAYFAIR AVE, MINERVA, OH 44657-9484
(330) 705-9411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05913
OH
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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