NPI 1861733396

Lori McNickle, CPEDRFOM

Practitioner Pedorthist Canton, OH

Practice location

Address: 4663 Whipple Ave NW, Canton, OH 44718-2615
Phone: (330) 479-0020
Fax: (330) 493-5759

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence LPED32 (OH)

Other Pedorthist providers in Ohio →

Registry record

NPI: 1861733396
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2013
Record last updated: 7 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.