| NPI | 1487929097 |
|---|---|
| Doing Business As | CAROL MOORE |
| Entity Type | Organization |
| Authorized Contact | CAROL MOORE Massage Therapist 773-363-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |