| NPI | 1205341245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONI RODRIGUEZ Owner 617-249-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MA 19963) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-08-09 |