| NPI | 1992146849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD QUALTER Physical Therapist 774-237-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 7312) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |