Individual
ALICIA JANE JADWISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1654 VICTORIA AVE, LAKEWOOD, OH 44107-4004
(419) 341-1248
Mailing address
1654 VICTORIA AVE, LAKEWOOD, OH 44107-4004
(419) 341-1248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17172
OH
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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