Individual
GEORGE TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,BCTMB,SI,
Contact information
Practice address
19633 BLUE BIRD LN UNIT 7, REHOBOTH BEACH, DE 19971-6130
(302) 727-8428
Mailing address
19633 BLUE BIRD LN UNIT 7, REHOBOTH BEACH, DE 19971-6130
(302) 727-8428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0003121
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
585208-09
NCBTMB
DE
Enumeration date
12/08/2017
Last updated
12/08/2017
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