| NPI | 1932547783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MONTAN Office Manager 617-298-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 758) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |