Individual
MICA J ROSENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2850 MEDFORD AVE, INDIANAPOLIS, IN 46222-2252
(417) 355-0358
Mailing address
2850 MEDFORD AVE, INDIANAPOLIS, IN 46222-2252
(417) 355-0358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22007113
IN
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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