| NPI | 1386230647 |
|---|---|
| Doing Business As | SOUTHBRIDGE FITNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MONIFA MAAT Program Director 917-497-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |