| NPI | 1295275956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYAMI OYANAGI Owner 617-869-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 37956) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2018-03-21 |