| NPI | 1568851368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE FORMOSA Occupational Therapist 508-478-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 2461) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |