| NPI | 1720549892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2021-07-06 |