Individual
BOBBIE B WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
519 S PINE AVE, OCALA, FL 34471-0997
(352) 653-8026
Mailing address
PO BOX 245, SPARR, FL 32192-0245
(352) 653-8026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58764
FL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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