| NPI | 1740592013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROZMAN Clinical Director 617-354-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11318) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |