| NPI | 1902127913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BOURDEAU Owner 413-335-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 18051) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-09-29 |