| NPI | 1235359951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNEDY Owner 617-542-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-06-20 |