Healthcare Provider Details

I. General information

NPI: 1699947788
Provider Name (Legal Business Name): RITA OFFER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 03/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIRCLE NW SUITE 300
WASHINGTON DC
20037
US

IV. Provider business mailing address

1260 21ST STREET NW #414
WASHINGTON DC
20036
US

V. Phone/Fax

Practice location:
  • Phone: 202-775-0164
  • Fax:
Mailing address:
  • Phone: 202-775-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT106
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: