| NPI | 1437595600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY TANNER Contract Manager 413-788-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 226816) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-03-08 |