| NPI | 1063794485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DOBRUSHKIN Mt/Director 972-407-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT007576) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |