| NPI | 1679113765 |
|---|---|
| Doing Business As | VIDA SOMATIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | KRISTINA SCIARRILLO COPLEY Owner 619-627-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |