| NPI | 1023417755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI KRISTEN WENNEMER President 508-548-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 219658) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |