NPI | 1144386905 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN M LUSCOMB General Partner 978-521-6150 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 1763) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |