| NPI | 1508392515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN JAY WU CEO 978-500-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 20432) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-11-30 |