Individual
MRS. BERNADETTE JEAN KOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3800 PARK EAST DR, BEACHWOOD, OH 44122-4316
(216) 831-4303
Mailing address
1167 NEWELL LN, MEDINA, OH 44256-4074
(330) 313-1312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10759
OH
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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