| NPI | 1891505590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENZIN CHOEPHEL Owner, Authorized Official Provider 617-682-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |