| NPI | 1285451765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MAE PUNGOT RASTODER Director Of Quality Assurance 603-880-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |