| NPI | 1558030403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON R OLSEN Owner 917-658-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |