NPI 1013554096

Calvin Ngo

Practitioner Massage Therapist Orlando, FL

Practice location

Address: 6900 Tavistock Lakes Blvd STE 110, Orlando, FL 32827-7590
Phone: (407) 906-6550
Mailing address: 1146 Delphinium Dr, Orlando, FL 32825-6712

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 91717 (FL)

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Registry record

NPI: 1013554096
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2019
Record last updated: 8 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.