NPI | 1104458785 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLEE OLENDER Owner/Physical Therapist 774-556-4085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-02-11 |