Most Relevant Information
Provider Data
| NPI Number: | 1003025487 |
| Provider Name: | LORETTA J KOMOCAR LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
HOLISTIC MASSAGE & WELLNESS CLINIC
903 CYPRESS CREEK
OAKLAND PARK
FL
33334
Practice Location Phone/Fax
| Phone: | 9549412225 |
| Fax: |
Provider Mailing Location
6854 NW 4TH ST
MARGATE
FL
330635022
Provider Mailing Phone/Fax
| Phone: | 9544912225 |
| Fax: |