| NPI | 1548521354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANG CHI LUO Manager 617-953-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA LMT955) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA LMT9145) |
| 225700000X Massage Therapist (Licence: MA LMT6505LMT7370) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |