Individual
THERESA ESCOFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
934 ROSE AVE, N BETHESDA, MD 20852-8687
(301) 880-3313
Mailing address
11215 EDSON PARK PL APT 37, N BETHESDA, MD 20852-3175
(240) 506-7470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M05500
MASSAGE THERAPY LICENSE
MD
Enumeration date
01/05/2022
Last updated
01/05/2022
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