| NPI | 1659638567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PELLEGRINO Owner/Physical Therapist 617-828-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 97063) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2014-01-17 |