NPI | 1235590647 |
---|---|
Former Legal Business Name | ARBOR VITAE BODYWORK LLC |
Entity Type | Organization |
Authorized Contact | LOREN MAHAFFEY Owner/Therapist 340-998-1961 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: OR 19743) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |