| NPI | 1992205868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GAILHOUSE Owner 617-686-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 9075) |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-02-17 |