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 |