| NPI | 1013758895 |
|---|---|
| Former Legal Business Name | NORTHBORO PELVIC PT |
| Doing Business As | NORTHBORO PELVIC PT |
| Entity Type | Organization |
| Authorized Contact | KELLY MORENCY Managing Member 508-709-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |