| NPI | 1538987953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WALTON Clinical Manager And Compliance 781-935-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-08-07 |