Individual
SHAWNA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
762 INDEPENDENCE BLVD STE 100C, VIRGINIA BEACH, VA 23455-6250
(757) 268-6211
Mailing address
762 INDEPENDENCE BLVD STE 100C, VIRGINIA BEACH, VA 23455-6250
(757) 268-6211
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019005740
VA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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