| NPI | 1497357404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPOLOEAN WASHINGTON CEO 813-812-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 225600000X Dance Therapist | |
| 225100000X Physical Therapist | |
| 225500000X Specialist/Technologist | |
| 225700000X Massage Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |