| NPI | 1902308174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE RICHARDSON Physical Therapist 508-871-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 21934) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |