| NPI | 1467603480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA VAZQUEZ Office Manager 617-282-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MA 154378) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |