| NPI | 1366050106 |
|---|---|
| Doing Business As | HAE/PT |
| Entity Type | Organization |
| Authorized Contact | KATIE WADLAND Owner And Physical Therapist 617-851-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |