Individual
MICHELLE ROSE GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
625 E MONROE AVE APT 214, ALEXANDRIA, VA 22301-3024
(315) 542-2148
Mailing address
625 E MONROE AVE APT 214, ALEXANDRIA, VA 22301-3024
(315) 542-2148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016096
VA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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