| NPI | 1528218633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BENSON MCMANAMA Clinical Coordinator 781-986-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 463) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2010-12-20 |