NPI 1033550082

Dominique Charleston, LMT

Practitioner Massage Therapist Adelphi, MD

Practice location

Address: 10517 Pinewood CT, Adelphi, MD 20783-1018
Phone: (301) 366-3282

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M04159 (MD)

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Registry record

NPI: 1033550082
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2013
Record last updated: 7 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.