Organization
ORISA MASSAGE
Active
Organization
ORISA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYINKA ADEWETAN LMT (LICENSED MASSAGE THERAPIST)
(571) 659-5239
Entity
Organization
Contact information
Practice address
1401 MERCANTILE LN STE 200F, LARGO, MD 20774-4310
(571) 659-5239
Mailing address
7204 WILLOW HILL DR, CAPITOL HEIGHTS, MD 20743-2671
(240) 455-8233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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