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 |