| NPI | 1881732386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE DILLARD Owner 978-534-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 60425) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 60425) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 60425) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-11-06 |