| NPI | 1265422596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MATEUS Chief Executive Officer 508-676-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 152W00000X Optometrist | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2024-08-09 |