| NPI | 1811460678 |
|---|---|
| Doing Business As | ENCORE MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | LISA WESTFALL Administrator 256-997-7466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |