NPI | 1740235548 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE GLUCHACKI SVP, Compliance 508-689-9706 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-05-23 |
Last Update Date | 2022-04-15 |