Individual
ERIN GRACE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 425-1038
Mailing address
116 BIRS AVE, LINDENHURST, NY 11757-1810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025437-1
NY
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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