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Individual

THEADORA I WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
337 ALTA DR., UNIT A, GIRDWOOD, AK 99587
(907) 854-0293
Mailing address
PO BOX 156, GIRDWOOD, AK 99587-0156
(907) 854-0293

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
AK

Other

Enumeration date
08/24/2022
Last updated
08/24/2022
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