| NPI | 1679813430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED ALI MOSTOUFI Medical Director 617-547-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-10-08 |