Individual
DARBY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1771 W STATE ROAD 434, LONGWOOD, FL 32750-5067
(407) 620-9074
Mailing address
180 WATERFALL WAY UNIT 204, ALTAMONTE SPRINGS, FL 32714-6864
(407) 620-9074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0026086
FL
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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