| NPI | 1891190229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO GUERRERO Operating Manager 508-543-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18781) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 1795) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |