| NPI | 1427627165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH BUMPUS Owner 508-345-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-01-25 |