| NPI | 1215954946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MAE PUNGOT RASTODER Qa Director 603-880-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-12-13 |