| NPI | 1639763345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN VALANZOLA Enrollment Supervisor 781-681-0384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-01-23 |