Individual
JOHANNA UTRATA FORGAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2114
Mailing address
1484 WESTWOOD AVE, LAKEWOOD, OH 44107-3702
(216) 226-3330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7014
OH
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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