| NPI | 1790713485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E WHITE Owner 978-568-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-06-18 |