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 |