NPI | 1306979604 |
---|---|
Former Legal Business Name | AQUATIC MYOFASCIAL PHYSICAL THERAPY, INC. |
Entity Type | Organization |
Authorized Contact | THOMAS J ALLARDI President 781-245-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MA 6151) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2009-03-08 |