| NPI | 1184333791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE GUERINO Office Administrator 508-720-3630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |