| NPI | 1306078951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORAN COO 781-895-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7684) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 9680) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-09-07 |