Individual
ANNETTE ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMBW, LMT
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1900, CHANTILLY, VA 20151-1260
(571) 373-2042
Mailing address
23510 SPINNING WHEEL CT, ALDIE, VA 20105-2488
(571) 373-2042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009023
VA
Other
Enumeration date
07/31/2011
Last updated
01/08/2021
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