| NPI | 1831511781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD C LEDERMAN Sole Owner / Manager 413-727-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: MA 81248) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2019-06-26 |