| NPI | 1912070301 |
|---|---|
| Doing Business As | AT HOME PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RAY DEREK MUNN Owner 617-306-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11262) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-10-03 |