| NPI | 1063078392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIKA P CONWAY Co Owner, Athletic Trainer 978-430-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |