| NPI | 1700198306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE ERICKSON GORMAN Co Owner 781-444-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 167) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2019-02-22 |