Provider Demographics
NPI:1235257452
Name:WERONSKI, BARBARA ANNE (LMT, NCMMT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNE
Last Name:WERONSKI
Suffix:
Gender:F
Credentials:LMT, NCMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11217 CEDARLEA PKWY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-1834
Mailing Address - Country:US
Mailing Address - Phone:804-368-0182
Mailing Address - Fax:804-368-0182
Practice Address - Street 1:11217 CEDARLEA PKWY
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-1834
Practice Address - Country:US
Practice Address - Phone:804-368-0182
Practice Address - Fax:804-368-0182
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011058225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist