| NPI | 1992723639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELA BONAVITA Office Manager 413-732-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MA 60569) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |