Individual
PEGGY JO BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
137 RUNAWAY BAY DR APT 309, VA BEACH, VA 23452-8183
(757) 735-3964
Mailing address
137 RUNAWAY BAY DR APT 309, VA BEACH, VA 23452-8183
(757) 735-3964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015380
VA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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