| NPI | 1629623467 |
|---|---|
| Other Name | JOE D'ANDREA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA96420) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 007635) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-07-09 |