Individual
MEGHAN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
464 HERNDON PKWY STE 116, HERNDON, VA 20170-5200
(908) 514-8149
Mailing address
PO BOX 3732, RESTON, VA 20195-1732
(908) 514-8149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019014991
VA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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