| NPI | 1528143252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W ROTH President/Physical Therapist 978-697-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9641) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-05-19 |