| NPI | 1063859320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEBASTIAN President 617-792-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CT 008122) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-08-28 |