| NPI | 1003511908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE JACKSON PT, Owner 978-821-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |