NPI 1104639731
NPI 1104639731 is a Physical Therapy Clinic/Center in Waltham, Massachusetts. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
40 Crescent St Ste 104Waltham, MA 02453-4313
Phone: (781) 916-8825
Fax: (781) 701-3570
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Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X |
|---|
Record details
| NPI number | 1104639731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yolanda Rodriguez — President · (781) 916-8825 |
| NPI enumerated | January 28, 2025 |
| Last updated in NPPES | February 9, 2025 |
| Certification date | February 9, 2025 |
| Mailing address | 40 Crescent St Ste 104, Waltham, MA 02453-4313 |
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