| NPI | 1992837686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINA BALCHENKOFF Office Manager 617-739-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 91) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-08-13 |