Individual
WASSEL LTIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2710
(202) 368-5121
Mailing address
6001 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2710
(202) 368-5121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019016938
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
08/26/2020
Last updated
08/26/2020
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