Provider Demographics
NPI:1023012937
Name:NORTON-TOTH, LISA RENEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:RENEE
Last Name:NORTON-TOTH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7063 BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-7634
Mailing Address - Country:US
Mailing Address - Phone:330-755-6552
Mailing Address - Fax:330-755-6553
Practice Address - Street 1:45 STATE ST
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1939
Practice Address - Country:US
Practice Address - Phone:330-755-6552
Practice Address - Fax:330-755-6553
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-9200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2383728Medicaid
OH4098131Medicare PIN