| NPI | 1366091910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KAREN LASTER Owner 949-241-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |