NPI | 1780755934 |
---|---|
Entity Type | Organization |
Authorized Contact | JON DAVID CANSLER Clinical Director 803-335-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 4606) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-08-22 |