| NPI | 1558608976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY G. DIAS Manager 508-646-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 419) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |