| NPI | 1457875775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN DAVID SANQUINTIN Owner 617-602-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 268756) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-09-14 |