Individual
ANNETTE M IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
42 LOG CABIN DR, GRANTVILLE, PA 17028-8204
(717) 469-0462
(717) 469-1406
Mailing address
42 LOG CABIN DR, GRANTVILLE, PA 17028-8204
(717) 469-0462
(717) 469-1406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA34235
FL
Other
Enumeration date
05/11/2009
Last updated
05/12/2009
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