Individual
MS. VICTORIA M. BODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
13314 DETROIT AVE, LAKEWOOD, OH 44107-2850
(216) 621-3043
Mailing address
13314 DETROIT AVE, LAKEWOOD, OH 44107-2850
(216) 621-3043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.007239
OH
Other
Enumeration date
12/07/2012
Last updated
01/22/2016
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