NPI | 1720392335 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKI STORM President 413-369-4348 |
Organization Subpart ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 2193) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2010-08-06 |