NPI | 1265422596 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD MATEUS Chief Executive Officer 508-676-3292 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 152W00000X Optometrist |
213E00000X Podiatrist | |
225100000X Physical Therapist | |
225XE1200X Occupational Therapist, Ergonomics | |
261Q00000X Clinic/Center | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2025-09-02 |