| 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 |