| Organization Name: | CLIFTONDALE PHYSICAL THERAPY |
| NPI Number: | 1154568210 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN JOSEPH PACE (PRESIDENT) |
| Mailing Address: | 558 Lincoln Ave # 3 Saugus |
| State: | MA US |
| Postal Code: | 019063850 |
| Phone Number: | 7812310007 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 01/12/2009 |
| 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: | |