| NPI | 1285033811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENE GORDON Executive Assistant 678-338-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA73665) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |