| NPI | 1720103666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA SOUZA Billing Agent CEO 508-548-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 043366935) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-08-18 |