| NPI | 1780868505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS DAVID BACON Owner/Physical Therapist 413-219-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-01-21 |