NPI | 1811268022 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY FISK Licensed Massage Therapist 352-216-2486 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL MA50595) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |