| NPI | 1073646659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK MCCORMICK Co Owner 978-681-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-06-01 |