| NPI | 1871870402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MCINNES Director 781-871-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |