| NPI | 1851434013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DOUGLAS MOULTON President 978-858-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 185) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-12-21 |