| NPI | 1164277091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONGLAN TAO Owner 347-395-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |