| NPI | 1164820973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICOLENE K BODDIE Owner / Physical Therapist 781-413-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 18223) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |