| NPI | 1548920473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD ASHTON WILLIAMS-AGNEW Executive Director/Founder/Mentor 781-244-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |