Organization
ORIENTAL THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH SMITH LMT (OWNER)
(954) 603-1311
Entity
Organization
Contact information
Practice address
8771 STIRLING RD, COOPER CITY, FL 33328-5932
(954) 603-1311
(954) 252-5199
Mailing address
8771 STIRLING RD, COOPER CITY, FL 33328-5932
(954) 603-1311
(954) 252-5199
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP152
FL
171100000X
Acupuncturist
AP1971
FL
225700000X
Massage Therapist
MA42873
FL
225700000X
Massage Therapist
MA61412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP152
ACUPUNCTURE
FL
01
—
AP1971
ACUPUNCTURE
FL
01
—
MA42873
MASSAGE THERAPY
FL
01
—
MA61412
MASSAGE THERAPY
FL
Enumeration date
12/12/2011
Last updated
12/12/2011
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