Individual
VIRGINIE VANDEVOORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
400 CENTRAL PARK W APT 5M, NEW YORK, NY 10025-5829
(646) 418-4889
Mailing address
400 CENTRAL PARK W APT 5M, NEW YORK, NY 10025-5829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021947-1
NY
225700000X
Massage Therapist
77138
CA
225700000X
Massage Therapist
MA91557
FL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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