| NPI | 1669956629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J DEBRUIN Owner/Physical Therapist 413-519-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-03-25 |