| NPI | 1366685257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN E MULLIS President/Owner 617-519-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 15359) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |