Organization Name: | BD PHYSICAL THERAPY INC |
NPI Number: | 1053743211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG DAVIES (OWNER) |
Mailing Address: | 63 S Main St Suite A Randolph |
State: | MA US |
Postal Code: | 023684862 |
Phone Number: | 7819614460 |
Fax Number: | 7819863650 |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |