Individual
ROBERT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21351 GENTRY DR STE 114, STERLING, VA 20166-8510
(703) 982-0006
Mailing address
21351 GENTRY DR STE 114, STERLING, VA 20166-8510
(703) 982-0006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011185
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019011185
VIRGINIA NURSING BOARD
VA
Enumeration date
10/05/2022
Last updated
10/05/2022
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