NPI | 1356404685 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE S STAMATOPOULOS Clinical Director 617-923-8284 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 5194) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-08-22 |