# SPORT DEVELOPMENT SERVICES INC.

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

## Provider details

- **NPI number:** 1548920473
- **Authorized official:** MR. FLOYD ASHTON WILLIAMS-AGNEW (EXECUTIVE DIRECTOR/FOUNDER/MENTOR)
- **Authorized official phone:** (781) 244-0894

## Contact information

- **Practice address:** 19 BOYDEN ST, BOSTON, MA 02124-3212
- **Practice address phone:** (781) 244-0894
- **Mailing address:** 19 BOYDEN ST, BOSTON, MA 02124-3212
- **Mailing address phone:** (781) 244-0894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2021
- **Last updated:** 12/20/2021
