Organization
EMANUEL THERAPEUTIC MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IIEANA D LOZANO (PRESIDENT)
(305) 885-3239
Entity
Organization
Contact information
Practice address
1035 E 4TH AVE, HIALEAH, FL 33010-4103
(305) 885-3239
(305) 888-0264
Mailing address
1035 E 4TH AVE, HIALEAH, FL 33010-4103
(305) 885-3239
(305) 888-0264
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA-63278
FL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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