Individual
GEORGE ROVDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 9TH ST N STE 219, ARLINGTON, VA 22203-1954
(703) 956-0566
Mailing address
720 N EDISON ST, ARLINGTON, VA 22203-1433
(703) 956-0566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019008652
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/09/2022
Last updated
03/09/2022
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