| NPI | 1295082469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA P. TIPPETT Officer 508-897-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MA 229) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |