| NPI | 1346622719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WEAVER Member 978-302-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NV 14-0530) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 14-0449) |
| 225100000X Physical Therapist (Licence: NV PT2971) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2016-07-14 |