Organization
BLOCH WELLNESS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FREDERICK DOUGLAS LMT, SFC (MASSAGE THERAPIST/FLEXIBILITY COACH)
(310) 480-4052
Entity
Organization
Contact information
Practice address
6324 E PACIFIC COAST HWY STE C, LONG BEACH, CA 90803-4841
(562) 493-5600
Mailing address
6324 E PACIFIC COAST HWY STE C, LONG BEACH, CA 90803-4841
(562) 493-5600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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