| NPI | 1730477456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAY RUETENIK Ocs 781-400-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 901) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2017-04-11 |