| NPI | 1982966032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L BREEN Managing Member 617-254-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 15855) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |