| NPI | 1265998470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY AUSTIN Owner/Physical Therapist 508-952-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-01-12 |