| NPI | 1255369963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E WHITE President 617-666-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-04-20 |