Individual
ANTONIO GILBERTO CONTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
4037 WATERCRAFT FERRY AVE UNIT 309, WILMINGTON, NC 28412-6279
(910) 367-1377
Mailing address
4037 WATERCRAFT FERRY AVE UNIT 309, WILMINGTON, NC 28412-6279
(910) 367-1377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20812
NC
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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