| NPI | 1225161193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEIGH MCKINNEY Co Owner 508-285-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 273) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-08-12 |