| NPI | 1821747445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW MARQUES Owner 978-836-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-09-18 |