| NPI | 1235876103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA GIDWANI Owner 508-984-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-05-22 |