| NPI | 1861593568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M KELLY Owner/President 781-740-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8277) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |