| NPI | 1427169325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L MAXSON President 781-821-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 5425) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 237) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |