Individual
SUSAN MARIE TOMASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 WEST MAIN ST., WYTHEVILLE, VA 24382-2157
(276) 228-4343
(276) 228-4343
Mailing address
108 OLD BEAR TRL, IVANHOE, VA 24350-3707
(276) 228-4343
(276) 228-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000550
VA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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