Provider Demographics
NPI:1356657662
Name:OROZ, MARIJANA (LMT)
Entity Type:Individual
Prefix:MISS
First Name:MARIJANA
Middle Name:
Last Name:OROZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13319 MADISON AVE
Mailing Address - Street 2:APT. 4
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4884
Mailing Address - Country:US
Mailing Address - Phone:216-778-9850
Mailing Address - Fax:
Practice Address - Street 1:13319 MADISON AVE
Practice Address - Street 2:APT. 4
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4884
Practice Address - Country:US
Practice Address - Phone:216-778-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH018550225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist