Individual
MR. GABRIEL VYDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4891 SAWMILL RD, SUITE 150, COLUMBUS, OH 43235-7266
(614) 489-9855
Mailing address
4891 SAWMILL RD, SUITE 150, COLUMBUS, OH 43235-7266
(614) 489-9855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019464
OH
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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