| NPI | 1992171037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCIO I LORA Full Specialist/Lmt 407-758-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL FS878771) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma60398) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |