Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 33021444 | OH |
NPI | 1003276379 |
---|---|
Provider Name | Daniela Tucaliuc |
First Address | Wilmington, OH 45177-1440 |
Second Address | Wilmington, OH 45177-1992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2016 |
Last Update Date | 01/03/2016 |