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Organization

TRUSTEES OF BOSTON UNIVERSITY

Active
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Organization

TRUSTEES OF BOSTON UNIVERSITY

Active
Other names
Boston University Rehabilitation Services
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SEVERO (MANAGER)
(617) 358-3700
Entity
Organization

Contact information

Practice address
915 COMMONWEALTH AVE REAR, BOSTON, MA 02215-1394
(617) 358-3700
(617) 358-3710
Mailing address
915 COMMONWEALTH AVE REAR, BOSTON, MA 02215-1394
(617) 358-3700
(617) 358-3710

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
12/28/2005
Last updated
09/29/2009
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