| NPI | 1376593368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY SISUN President/Owner 617-730-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-04-20 |