| NPI | 1245593813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BOSSELMAN Occupational Therapist 508-620-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |