| NPI | 1376825711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ADELIA CLARK Occupational Therapist/Owner 781-269-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MA 6919) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MA 11745) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: MA 9522) | |
| 235Z00000X Speech-Language Pathologist (Licence: MA 6606) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-10-02 |