Individual
MRS. CARRIE JEAN BOEHNLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
730 BLAIR AVE, HAMPTON, VA 23661-3107
(410) 422-3581
Mailing address
730 BLAIR AVE, HAMPTON, VA 23661-3107
(410) 422-3581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012935
VA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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