| NPI | 1538202932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DOUGLAS MOULTON President 978-685-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 186) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-07-19 |