Organization
BODY HEALING THERAPEUTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLANGE F LOPES (PRESIDENT)
(508) 559-1577
Entity
Organization
Contact information
Practice address
567 PLEASANT ST STE 11, BROCKTON, MA 02301-2507
(508) 559-1577
(508) 559-5144
Mailing address
567 PLEASANT ST STE 11, BROCKTON, MA 02301-2507
(508) 559-1577
(508) 559-5144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1268
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12497292
CAQH
MA
Enumeration date
03/04/2013
Last updated
03/04/2013
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