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Individual

TAWNIA WECKWERTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
91-1160 AAWA DR, EWA BEACH, HI 96706-3904
(808) 298-6525
Mailing address
91-1160 AAWA DR, EWA BEACH, HI 96706-3904
(808) 298-6525

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60486689
WA
172M00000X
Mechanotherapist
Primary
MAT14419
HI

Other

Enumeration date
09/15/2014
Last updated
12/02/2016
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