IDA GAMMON-WILSON, LMT, CBT
Massage Therapist
Active
Individual
NPI: 1629090519
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | ME#MT6 (ME) |
Frequently Asked Questions
NPI 1629090519 is the National Provider Identifier for IDA GAMMON-WILSON, LMT, CBT, a Massage Therapist provider located in Farmingdale, ME. This NPI was enumerated on July 23, 2006.
IDA GAMMON-WILSON, LMT, CBT practices at 690 MAINE AVE, Farmingdale, ME 04344.
Quick Facts
- NPI
- 1629090519
- Type
- Individual
- Enumerated
- Jul 23, 2006
- Last Updated
- Jul 8, 2007
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