| NPI | 1104035302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R SCOTT OLIVER Owner 781-934-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MA 259) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 259) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-03-13 |