| NPI | 1811435803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNNE MILLER Occupational Therapist 413-374-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MA 436130) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |