| NPI | 1053710467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MILOS Physical Therapisy 781-263-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 302967) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |