| NPI | 1194004630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL DANSEREAU Owner/Manager 508-399-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 15260) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2012-01-12 |