| NPI | 1497088181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY NUTILE Physical Therapist/Owner 781-443-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3077) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2013-02-22 |