| NPI | 1366786717 |
|---|---|
| Professional Name | GEORGE BELLOMO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502003698) |
| 225700000X Massage Therapist (Licence: MI 7501003114) | |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2023-08-22 |