| NPI | 1265873582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIMAN LO Licensed Massage Therapist 617-328-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 790) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |