| NPI | 1972871259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MAHMOUD Owner 508-414-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |