| Laura Bolin, | |
|
13114 Detroit Ave, Lakewood, OH 44107-2840 | |
| (216) 529-4241 | |
| Not Available |
| Full Name | Laura Bolin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 13114 Detroit Ave, Lakewood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366030256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | COND.20201484-SP (Ohio) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20160728001716 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Bolin, 13114 Detroit Ave, Lakewood, OH 44107-2840 Ph: (216) 529-4241 | Laura Bolin, 13114 Detroit Ave, Lakewood, OH 44107-2840 Ph: (216) 529-4241 |
Gina Kortyka, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13701 Lake Ave, Lakewood, OH 44107 Phone: 440-602-1000 | |
Melissa Smith, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1451 Rosewood Ave, Lakewood, OH 44107 Phone: 814-335-8070 | |
Ann E. Grunder, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1550 Lakeland Ave, Lakewood, OH 44107 Phone: 216-577-5183 | |
Sade Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14600 Detroit Ave Apt 610, Lakewood, OH 44107 Phone: 678-708-7205 | |
Ms. Jenae Lyn Wolf, MA,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14701 Detroit Ave, Lakewood, OH 44107 Phone: 440-838-0990 Fax: 440-838-8440 | |
Joyce M Rusnak, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13315 Detroit Ave, Lakewood, OH 44107 Phone: 216-227-0947 | |
Monica Spatny, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1661 Lincoln Ave, Lakewood, OH 44107 Phone: 937-414-5982 |