| NPI | 1962625616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SABELLA Credentialing Dept 561-241-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL mm7938) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |