| NPI | 1194982140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE OKON PAUL Owner/President 954-564-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL Lic #19555) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |