| NPI | 1669898714 |
|---|---|
| Doing Business As | WACHUSETT |
| Entity Type | Organization |
| Authorized Contact | SALLY GOODHILE Physical Therapist 978-632-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 5211) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 253Z00000X In Home Supportive Care (Licence: MA 5211) | |
| 302F00000X Exclusive Provider Organization (Licence: MA 5211) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |