NPI 1154056703

Tidiane Idabo Zerbo

Practitioner Massage Therapist Rockville, MD

Practice location

Address: 610 Rollins Ave, Rockville, MD 20852-4112
Phone: (240) 381-3066

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019008292 (VA)

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Registry record

NPI: 1154056703
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2022
Record last updated: 18 Jul 2022

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.