| NPI | 1083069934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH MENDELOWITZ Owner/Operator 617-959-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 12607) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |