| NPI | 1932664307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONISE M LEONARD Mgr 407-782-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111NR0400X |
| 171100000X Acupuncturist | |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |