Individual
DAWN WEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5465 MAIN ST, SYLVANIA, OH 43560-2155
(419) 810-1731
Mailing address
1909 OLD PLANKE RD, HOLLAND, OH 43528
(419) 810-1731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.008529
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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