NPI | 1477562916 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH E LEWIS-KELLOGG President, Practice Owner 413-442-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11063) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2015-03-02 |