Erin Grace Wirth

NPI #1720622640 in Wantagh, New York

Provider Information

NPI Number: 1720622640
Entity Type: Individual
Name: Erin Grace Wirth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 3728 PARK AVE
City: Wantagh
State: New York
ZIP Code: 11793-3707
Phone: (516) 425-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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