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Organization
SOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT
Active
Organization
SOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KOELBEL MD (OWNER)
(617) 448-9303
Entity
Organization
Contact information
Practice address
250 POND STREET, BRAINTREE, MA 02184-5351
(781) 348-2202
Mailing address
132 ISLAND CREEK RD, DUXBURY, MA 02332-4323
(617) 448-9303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
11/04/2024
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