| NPI | 1215404637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MAHMOUD Owner 508-414-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2024-04-24 |