| NPI | 1073884334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SARAH BELJOUS Massage Therapist 347-871-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: NY 024166) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |