| 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 |