Individual
VICTORIA LANE FERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(216) 692-7456
Mailing address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(216) 692-7456
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT018259
OH
Other
Enumeration date
03/26/2020
Last updated
03/20/2024
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