| NPI | 1629778139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN LANIGAN DOUCETTE Owner/O PT Ometrist 978-969-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |