Individual
DIANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28821 LORAIN RD, NORTH OLMSTED, OH 44070-4013
(440) 716-8400
Mailing address
1699 W 31ST PL, CLEVELAND, OH 44113-2921
(440) 865-6565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-024232
OH
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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