NPI | 1760601942 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD P LECLAIRE Owner And Physical Therapist 508-336-3121 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8100) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT00460) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2010-11-23 |