| NPI | 1619624269 |
|---|---|
| Doing Business As | AGEILITY PHYSICAL THERAPY SOLUTIONS AT WATERFORD GRAND |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C. LEER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-10-20 |