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Individual

BETHANN BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1801 ROBERT FULTON DR STE 230, RESTON, VA 20191-5461
(703) 391-9410
(703) 476-7634
Mailing address
1801 ROBERT FULTON DR STE 230, RESTON, VA 20191-5461
(703) 391-9410
(703) 476-7634

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019
VA

Other

Enumeration date
07/31/2018
Last updated
07/31/2018
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