| NPI | 1902488018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH HOGAN Owner 617-448-5633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-04-08 |