| NPI | 1679168652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J FEHNEL President 978-818-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |