| NPI | 1043546948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN E CRAY Owner 339-987-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 17916) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2015-08-14 |