Individual
TENNIE L NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1997 HEALTHWAY DR, AVON, OH 44011-2834
(440) 988-6800
Mailing address
1997 HEALTHWAY DR, AVON, OH 44011-2834
(440) 988-6800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-015859
OH
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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