Tina Wilson, LMT, CLT

NPI #1417262205 in Newberry, Florida

Provider Information

NPI Number
1417262205
Entity Type
Individual
Name
Tina Wilson, LMT, CLT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
LMT, CLT
Enumeration Date
Aug 17, 2010
Last Updated
Aug 17, 2010

Practice Location

Address
15019 NW 5TH AVE
State
Florida
ZIP Code
32669-2828
Phone
(352) 494-4372

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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