| NPI | 1699179606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SEGEL Compliance Officer 617-461-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 864) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |