Organization
SUPERIOR ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GICHURU (PRESIDENT)
(617) 852-7789
Entity
Organization
Contact information
Practice address
19 BAILEY ST, DORCHESTER, MA 02124-4889
(617) 852-7789
Mailing address
19 BAILEY ST, DORCHESTER, MA 02124-4889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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