Individual
AVA TOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3852 VIRGINIA BEACH BLVD, VIRGINIA BCH, VA 23452-2489
(757) 402-3092
Mailing address
3852 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-2489
(757) 402-3092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020814
VA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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