| NPI | 1427202712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. FAGERSON President 781-263-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 8253) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |