NPI | 1548302375 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA SOUZA Billing Agent 508-548-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 151111) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |