| NPI | 1982048898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE BAKER-BRADLEY Sole Proprietor 866-577-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MA 1279) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |