Individual
MS. MICHELE MARLEEN LUCZYWO-GRUNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2500 BRADY LAKE RD, RAVENNA, OH 44266-1610
(330) 678-2400
(330) 673-3714
Mailing address
4770 GREEN RD, CLEVELAND, OH 44128-5270
(216) 288-3919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000286
OH
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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