| NPI | 1861716714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEWIS KISIEL President 413-442-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9592) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 4907LMHC) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |