Individual
CLAIRE ANNETTE WIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1925 SE HWY 19, CRYSTAL RIVER, FL 34429
(352) 464-2874
Mailing address
870 N COUNTRY CLUB DR, CRYSTAL RIVER, FL 34429-9015
(352) 464-2874
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA43234
FL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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