| NPI | 1891047346 |
|---|---|
| Doing Business As | AGEILITY PHYSICAL THERAPY SOLUTIONS AT GRANITE GATE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C LEER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2022-10-20 |