Individual
MRS. ANDREA T WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34931 US HWY 19N, SUITE 110, PALM HARBOR, FL 34684
(727) 787-5300
(727) 938-7902
Mailing address
34931 US HWY 19N, SUITE 110, PALM HARBOR, FL 34684
(727) 787-5300
(727) 938-7902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0013830
FL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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