| NPI | 1477547529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M GHOSTLAW President/ Physical Therpist 617-232-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8336) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-10-18 |