| NPI | 1497520928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GREGORY Secretary 508-397-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| 2251N0400X Physical Therapist, Neurology | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |