| NPI | 1619494424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ROSE WARD Owner 718-306-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC169614) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20855) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |