MEDICARE: MRS. MARISSA JO LAPINSKY LPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	011609	OH

General Provider Information

NPI Number	:	1215056999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARISSA JO LAPINSKY LPT

Provider Business Mailing Address
First Line	:	335 OXFORD ST
Second Line	:	SUITE B
City	:	DOVER
State	:	OH
Zip	:	44622-1970
Country	:	US
Telephone Number	:	330-364-2233
Fax Number	:	330-364-7744

Provider Business Practice Location Address
First Line	:	335 OXFORD ST
Second Line	:	SUITE B
City	:	DOVER
State	:	OH
Zip	:	44622-1970
Country	:	US
Telephone Number	:	330-364-2233
Fax Number	:	330-364-7744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	01/31/2008

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