Individual
MRS. LISA MARIE MODELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 DEBARTOLO PL STE 220, YOUNGSTOWN, OH 44512-6095
(330) 965-7828
Mailing address
106 FOREST CREEK DR, STRUTHERS, OH 44471-2187
(330) 565-8089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.10074
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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