| NPI | 1912158973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C FONSECA Vice President 954-213-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 225700000X) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |