| NPI | 1346821824 |
|---|---|
| Doing Business As | LCG BOSTON |
| Entity Type | Organization |
| Authorized Contact | AARON CHAN Director/Owner 781-850-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |