Individual
CHRISTINA PURVIS WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
916 W BROOKFOREST DR, PEORIA, IL 61615-1072
(309) 472-1926
Mailing address
916 W BROOKFOREST DR, PEORIA, IL 61615-1072
(309) 472-1926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227023616
IL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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