Organization
MENTOR ABI
Active
Other names
NeuroRestorative New
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DAVIS MBA (SR. BUSINESS DIRECTOR)
(618) 303-1577
Entity
Organization
Contact information
Practice address
639 GRANITE ST, SUITE 215, BRAINTREE, MA 02184-5366
(781) 356-6330
Mailing address
639 GRANITE ST, SUITE 215, BRAINTREE, MA 02184-5366
(781) 356-6330
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/27/2015
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