| NPI | 1184168197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LOUISE BRASSARD Resident Agent 978-549-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 7179) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |