| NPI | 1962987412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNUPRIYA RAMAKRISHNAN Physical Therapist 508-494-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-11-03 |