| NPI | 1508087024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L SANDERSON President Owner 413-586-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15956) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2745) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-10-03 |