| NPI | 1659578466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A HOLOHAN Physical Therapist 617-594-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 6531) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |