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Organization
PROFORM PHYSICAL THERAPY, LLC
Active
Organization
PROFORM PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BURNHAM DPT (OWNER)
(978) 255-4238
Entity
Organization
Contact information
Practice address
175 ELM ST UNIT C, SALISBURY, MA 01952-1827
(978) 255-4238
(978) 473-7543
Mailing address
175 ELM ST UNIT C, SALISBURY, MA 01952-1827
(978) 255-4238
(978) 473-7543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20821
MA
Other
Enumeration date
01/04/2016
Last updated
08/14/2021
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