Individual
LORI ANN BAZZETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
25267 FORTUNA ST, ROSEVILLE, MI 48066-3642
(586) 747-1712
Mailing address
25267 FORTUNA ST, ROSEVILLE, MI 48066-3642
(586) 747-1712
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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