Doctor Name: | JESSICA MARIE BROZ |
NPI Number: | 1023277233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 09801 |
Business Practice Address: | 30033 Clemens Rd Westlake, OH - 441451021 |
Business Phone Number: | 4408995625 |
Business Fax Number: | |
Mailing Address: | 1580 Lincoln Ave, LAKEWOOD |
State: | OH |
Postal Code: | 441074437 |
Phone Number: | 4405701457 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 09801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |