Individual
CHRISTOPHER LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4017 VICTORY DR APT 258, AUSTIN, TX 78704-7556
(210) 548-9780
Mailing address
4017 VICTORY DR APT 258, AUSTIN, TX 78704-7556
(210) 548-9780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107966
TX
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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