Individual
REBECCA WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 TOWN & COUNTRY BLVD, SUITE 502, FRISCO, TX 75034
(469) 269-6585
Mailing address
6904 COLUMBIA FALLS DR, MCKINNEY, TX 75070
(214) 662-0761
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT114433
TX
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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