| NPI | 1891938536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JARJURA Owner 781-483-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 17105) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |