Organization
CRYSTAL OWL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN NGO (OWNER)
(407) 929-2325
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 110, ORLANDO, FL 32827-7590
(407) 906-6550
Mailing address
1146 DELPHINIUM DR, ORLANDO, FL 32825-6712
(407) 929-2325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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