| NPI | 1780704601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ALLYN MARTINAGE Occupational Therapist 617-254-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283XC2000X Rehabilitation Hospital, Children (Licence: MA 1058472) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |