| NPI | 1649299157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D MOFFATT-BRUCE President 781-744-8594 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 2778) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-10-17 |