| NPI | 1780937326 |
|---|---|
| Other Name | SMG HAWTHORN PT/OT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALLUM CEO 617-419-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2021-06-17 |