Individual
MS. ANN M WILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
5006 VETERANS MEMORIAL HWY, HOLBROOK, NY 11741-4514
(631) 567-3815
Mailing address
865 BROADWAY AVE APT 197A, HOLBROOK, NY 11741-4945
(631) 567-3815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005985
NY
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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