Provider Demographics
NPI:1134547953
Name:CECEZ, MILJAN (DPT)
Entity type:Individual
Prefix:
First Name:MILJAN
Middle Name:
Last Name:CECEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PHYSICAL THERAPY
Mailing Address - Street 2:9500 EUCLID AVENUE / C22
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-6245
Mailing Address - Fax:216-444-8548
Practice Address - Street 1:PHYSICAL THERAPY
Practice Address - Street 2:9500 EUCLID AVENUE / C22
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-6245
Practice Address - Fax:216-444-8548
Is Sole Proprietor?:No
Enumeration Date:2014-03-29
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.013620225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist