| NPI | 1043019680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN KRONFORST Vice President 617-233-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |