| NPI | 1013598432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA GUSTAFSON Owner/Physical Therapist 781-710-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |