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Organization
SECOND WIND PHYSICAL THERAPY & SPORTS MEDICINE INC.
Active
Organization
SECOND WIND PHYSICAL THERAPY & SPORTS MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDON LACHANCE MS, PT (PRESIDENT)
(617) 429-2042
Entity
Organization
Contact information
Practice address
115 PORTER ST, EAST BOSTON, MA 02128-2110
(617) 569-2929
(617) 569-2925
Mailing address
115 PORTER ST, EAST BOSTON, MA 02128-2110
(617) 569-2929
(617) 569-2925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330299
—
MA
Enumeration date
10/22/2007
Last updated
09/08/2023
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