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Individual

LAURA J GARZA-WILT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5814 KATELYN MARY PL UNIT 304, ALEXANDRIA, VA 22310-5445
(703) 405-5095
Mailing address
5814 KATELYN MARY PL UNIT 304, ALEXANDRIA, VA 22310-5445
(703) 405-5095

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019010887
VA
225700000X
Massage Therapist
Primary
MA100735
FL
225700000X
Massage Therapist
MT2248
DC

Other

Enumeration date
09/22/2020
Last updated
12/05/2022
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