Individual
HEATHER ZIVKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
440 RIVERVIEW DR, EDGEWATER, MD 21037-3217
(443) 994-9204
Mailing address
440 RIVERVIEW DR, EDGEWATER, MD 21037-3217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05156
MD
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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