Organization
HOLLIBALANCE WELL-BEING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YI SONG (DIRECTOR)
(617) 344-1441
Entity
Organization
Contact information
Practice address
101 FEDERAL ST FL 19, BOSTON, MA 02110-1817
(617) 344-1441
(617) 206-3889
Mailing address
1834 CENTRE ST UNIT 320594, WEST ROXBURY, MA 02132-0223
(617) 344-1441
(617) 206-3889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
303
MA
164W00000X
Licensed Practical Nurse
Primary
—
—
171100000X
Acupuncturist
223246
MA
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
3483
MA
Other
Enumeration date
05/31/2008
Last updated
10/06/2022
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