| NPI | 1427634898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE LAKA Office Manager 617-947-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-07-19 |