| NPI | 1104641463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT SANKHE CFO 617-605-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251C2600X |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |