| NPI | 1891184909 |
|---|---|
| Former Legal Business Name | BEACON THERAPIES INC. |
| Entity Type | Organization |
| Authorized Contact | EVELYN MARTHA RODRIGUEZ Manager 617-512-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 4340) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2023-05-10 |