| NPI | 1063658946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT M THISSE Director Of Operations 781-762-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2008-12-26 |