Individual
DEBRA JOY WIENSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6290 W SAMPLE RD, CORAL SPRINGS, FL 33067-3101
(954) 757-2939
Mailing address
6290 W SAMPLE RD, CORAL SPRINGS, FL 33067-3101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58798
FL
Other
Enumeration date
08/01/2010
Last updated
08/01/2010
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