Miceli, Marlo
Miceli, Marlo is an individual health care provider with primary practice located at 2760 Som Center Rd , Willoughby Hills OH 44094. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Miceli, Marlo can be contacted via phone (440) 306-2358.Contact Information
Primary practice address
2760 Som Center Rd
Willoughby Hills OH 44094
Phone: (440) 306-2358
Fax: (440) 306-2359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 007422 | Ohio |
Profile Details
| NPI number | 1164507406 |
|---|---|
| LBN Legal business name | Miceli, Marlo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Oct 27th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164507406 | NPPES |
| Ohio | MEDICAID | 2771808 |
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