| NPI | 1124489562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S DEFOSSE Occupational Therapist 617-699-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: MA 8852) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: MA 8852) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |