Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 06544 | OH |
NPI | 1013182336 |
---|---|
Provider Name | Miss Lori Parrish |
First Address | Lancaster, OH 43130-8800 |
Second Address | Lancaster, OH 43130-8800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 28/04/2008 |