| NPI | 1649479395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE GREEN President 617-877-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 966) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-08-08 |