| NPI | 1699167783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA PAPA Credentialing Manager 617-894-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 174400000X Specialist |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2022-05-27 |