Individual
MS. DIANA SIMONTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
301 S COLUMBUS ST, ALEXANDRIA, VA 22314-3603
(703) 519-0760
Mailing address
301 S COLUMBUS ST, ALEXANDRIA, VA 22314-3603
(703) 519-0760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000249
VA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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