Individual
PAULA ANNE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11916 COUNTY ROAD 20, FAYETTE, OH 43521
(419) 583-7439
Mailing address
11916 COUNTY ROAD 20, FAYETTE, OH 43521
(419) 583-7439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019864
OH
Other
Enumeration date
09/25/2013
Last updated
06/30/2014
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