| NPI | 1750840708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEZIEL GONZALEZ Owner 413-519-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-10-07 |