| NPI | 1154777381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CROCKER Owner/Physical Therapist 617-939-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 15884) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |