Individual
JESSICA BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
765 ELA RD, SUITE 105, LAKE ZURICH, IL 60047-2385
(847) 550-1115
Mailing address
3 MADISON ST, APT ONE HALF, ALGONQUIN, IL 60102-2619
(847) 648-0165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012854
IL
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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