Individual
LORI LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2714 13TH ST NW, CANTON, OH 44708-3121
(330) 456-5343
Mailing address
290 LINCOLN ST SW APT H, HARTVILLE, OH 44632-9305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1812
OH
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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