| NPI | 1073971982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GRACE VOLA Lic Massage Therapist 770-369-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MA003861) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-05-09 |