| NPI | 1447374970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LANE Cmt Provider 609-392-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 26NP01213900) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |