| NPI | 1821375049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELL J SHELTON Owner 413-222-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0063535) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |