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Individual

MRS. SANDRA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1372 OLD BRIDGE RD STE 102, WOODBRIDGE, VA 22192-2755
(617) 792-5329
Mailing address
4196 MERCHANT PLZ # 605, WOODBRIDGE, VA 22192-5085
(617) 792-5329

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008553
VA

Other

Enumeration date
10/09/2023
Last updated
10/09/2023
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