THERESA BENTON

FAIRFAX, VA
NPI1407576689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: VA  0019018874)
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
THERESA BENTON
8500 EXECUTIVE PARK AVE STE 300
FAIRFAX, VA 22031-2228
Phone number: 703-698-7117
Mailing Address
THERESA BENTON
4518 SAMUELS PINE RD
CHANTILLY, VA 20151-1419
Phone number: 703-826-1525