| NPI | 1639367295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN DETOMAS Financial Administrator 413-782-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 7165) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |