NPI | 1518160837 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SCOTT WREDE President Physician 508-564-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 158481) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2008-12-30 |