| NPI | 1295148781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WOLLENSAK Outpatient Director 508-278-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 21101) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |