| NPI | 1093103137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MATEUS CEO 508-676-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2023-09-13 |