Individual
MS. LESLIE SUSAN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT,NMT
Contact information
Practice address
341 NILES VIENNA RD, VIENNA, OH 44473-9501
(330) 984-9510
Mailing address
341 NILES VIENNA RD, VIENNA, OH 44473-9501
(330) 984-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15660
OH
225700000X
Massage Therapist
Primary
15660
OH
Other
Enumeration date
05/02/2007
Last updated
02/09/2017
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