| NPI | 1356687115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCETTA MARIE ANTONELLI Massage Therapist 503-349-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 7449) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |