| Organization Name: | MCGOVERN PHYSICAL THERAPY ASSOCIATES LLC |
| NPI Number: | 1043200330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN N DAVIDSON (CEO) |
| Mailing Address: | 350 Main St Suite 205 Malden |
| State: | MA US |
| Postal Code: | 021485089 |
| Phone Number: | 7813212727 |
| Fax Number: | 7813214995 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 9964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |