Individual
TERA THREEWIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMP
Contact information
Practice address
7539 SOQUEL DR., APTOS, CA 95003
(831) 440-1221
Mailing address
444-170 WHISPERING PINES DR., SCOTTS VALLEY, CA 95066
(831) 419-6877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NA
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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