Organization Name: | CENTRAL MASSACHUSETTS PHYSICAL THERAPY AND WELLNESS, L |
NPI Number: | 1174935589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ROBERTS (MANAGER) |
Mailing Address: | 354 W Boylston St 111 West Boylston |
State: | MA US |
Postal Code: | 015832373 |
Phone Number: | 5088523700 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2014 |
NPI Last Update Date: | 05/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 20627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |