Individual
KYLE BIZJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 VEGAS DR, EASTLAKE, OH 44095-2102
(440) 283-2219
Mailing address
503 VEGAS DR, EASTLAKE, OH 44095-2102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6958
OH
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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