Individual
RICHARD JAMES VILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9772 DIAGONAL RD, OUTREACH ACADEMY, MANTUA, OH 44255-9128
(330) 274-2272
Mailing address
3727 BOSWORTH RD, OUTREACH ACADEMY, CLEVELAND, OH 44111-6037
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.017418
OH
Other
Enumeration date
02/03/2014
Last updated
09/15/2015
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