Individual
MRS. MICHELLE D OZENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8922 W OCOTILLO RD, GLENDALE, AZ 85305-2052
(623) 872-3877
Mailing address
8922 W OCOTILLO RD, GLENDALE, AZ 85305-2052
(623) 872-3877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-01748P
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-01748P
MT LICENSE
AZ
Enumeration date
12/14/2015
Last updated
12/14/2015
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