NPI | 1093888620 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN WADE BLUTE President 978-369-1337 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |