# SOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275782435
- **Authorized official:** DR. STEPHEN KOELBEL MD (OWNER)
- **Authorized official phone:** (617) 448-9303

## Contact information

- **Practice address:** 250 POND STREET, BRAINTREE, MA 02184-5351
- **Practice address phone:** (781) 348-2202
- **Mailing address:** 132 ISLAND CREEK RD, DUXBURY, MA 02332-4323
- **Mailing address phone:** (617) 448-9303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 11/04/2024