| NPI | 1235397670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YI SONG Director 617-344-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 303) |
| 171100000X Acupuncturist (Licence: MA 223246) | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist (Licence: MA 3483) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2022-10-06 |