| NPI | 1205235041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M CARDIN Executive Director 508-832-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21239) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |