| NPI | 1982128484 |
|---|---|
| Doing Business As | SPA BY DIVINE AND WELLNESS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHANNA VAN BELJON Owner 817-673-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |