Individual
MR. GILFORD WAYNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1950 RICHMOND RD, WELLNESS INSTITUTE, LYNDHURST, OH 44124
(216) 633-1149
Mailing address
1109 PLAINFIELD RD, SOUTH EUCLID, OH 44121-2535
(216) 633-1149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33. 014110 N-R
OH
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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