Individual
REBEKAH BRADCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 FLAGSHIP DR, WOODBRIDGE, VA 22192-2616
(740) 457-8349
Mailing address
1430 FLAGSHIP DR, WOODBRIDGE, VA 22192-2616
(740) 457-8349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016322
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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