| NPI | 1548650369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE BARKER Co Owner 781-864-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 36875) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |