| NPI | 1831479997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA AVERY Physical Therapist 617-591-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 19532) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |