| NPI | 1689948564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M VILLALOBOS President 508-842-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: MA 78395) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |