Individual
MR. BRIAN FILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
116Q EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
(703) 727-2853
Mailing address
223 ROYAL ST SE, LEESBURG, VA 20175-3110
(703) 727-2853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019001883
VA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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