Individual
MRS. ELAINE BARBARA LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2004 BRICKELL CT, VIRGINIA BEACH, VA 23454-2850
(175) 749-6370
Mailing address
2004 BRICKELL CT, VIRGINIA BEACH, VA 23454-2850
(175) 749-6370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000474
VA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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