Individual
PATIENCE ULSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
712 W BROAD ST STE 8, FALLS CHURCH, VA 22046-3222
(619) 241-9404
Mailing address
5616 23RD ST N, ARLINGTON, VA 22205-3110
(619) 316-9297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017591
VA
Other
Enumeration date
05/29/2014
Last updated
02/22/2023
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