NPI | 1669102885 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANIE DASRATH Occupational & Massage Therapist 386-965-3036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2022-06-11 |
Last Update Date | 2024-06-12 |