Provider / Organization | NPI | Date Certified |
---|---|---|
NZINGA GRACE | 1700495710 | 2020-07-26 |
Nzinga Grace is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700495710. Registration indicates Nzinga Grace is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Nzinga Grace |
Practice Office Address | 109 S WARREN ST # 301 SYRACUSE, NY US |
Practice Office Telephone | 3155694549 |
Mailing Address | 516 BEATTIE ST SYRACUSE, NY 132241542 US |
Business Telephone | 3154400413 |
Code | Practice | License No State |
---|---|---|
225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 031136
NY |