| NPI | 1255873964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONI L GILMAN Physical Therapist 413-530-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15977) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |