Individual
TERESIA GRACHELLA BRUINHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7224 S ORA CT, GREENBELT, MD 20770-3033
(240) 917-9121
Mailing address
7224 S ORA CT, GREENBELT, MD 20770-3033
(240) 917-9121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03124
MD
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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