Individual
TONYA D WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1515 W NC HIGHWAY 54 STE 210, DURHAM, NC 27707-5576
(919) 824-6838
Mailing address
1515 W NC HIGHWAY 54 STE 210, DURHAM, NC 27707-5576
(919) 824-6838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12069
NC
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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